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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> e Print your name and address on the reverse X / ❑Agent <br /> so that we can return the card to you. I D Iq. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ReceivRltdOVE6 . <br /> C. Date of Delivery <br /> or on the front if space permits. <br /> 1 D. Is delivery address different from item 1? ❑Yes <br /> Dwayne Hall If YES,e t vCT q�tj etSS below: ❑ No <br /> 101 F Street ON b lJJ oo h <br /> Salida, CO 81201 MNING uJIMATION <br /> ETY <br /> I I I I I I I I 'I I I II II I I I II III II I II II I I I 3. Service Type p Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 940 3770 8032 0326 18 ❑Certified Mail® Delivery <br /> Zb��o� ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> l ❑Signature Confirmation <br /> 7 017 2400 0000 9119 0719 l Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />