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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. e <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, eived by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. e(JL�K) <br /> 1, D. Is delivery address different from item 1? ❑Yes <br /> Mr. Miguel Hamarat If YES,enter delivery address below: ❑No <br /> Climax.Nolyhdenum Company <br /> Henderson Aline <br /> P.O. Box 68 <br /> Empire, CO 80438 <br /> 3.II I I I I I I I I I I I I I I I I I I I III III I I I I I I III ❑Adult Service <br /> Signature Restricted Delivery ❑Registered Mail Restricted Mail <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1142 21 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> +: r i,, ti ,rr �t r frnm caniira fahall ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> _oail ❑Signature Confirmation <br /> 7 016 214 0 o 0 0 0 2346 2275 <br /> Sail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />