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COMPLETE • <br /> ■ Complete items 1,2,and 3. A.,Sig ture <br /> ■ Print your name and address on the reverse X - agent <br /> so that we can return the card to you. 1'""` 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. eceived by(Printed Name) 0. ate of Delivery <br /> or on the front if space permits. Ir'k 11,(,��✓ a i +t <br /> D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: p No <br /> MoffatAlVanty Commissioned <br /> 221 W.-IVmtory Way <br /> Craig, CO 81625 <br /> II I IIIIII III)III I III I I I III II II I I II II I I III III 3. Service Type 0 Priority Mall Express® <br /> ❑Adult Signature 0 Registered MajlTM <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restricted <br /> 0 Certified Mai® Delivery <br /> 9590 9402 5506 9249 0531 76 0 Certified Mail Restricted Delivery Q Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> .....,r,s„„,--;,.Q�nhP�) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmationr"' <br /> 2' T ❑Insured Mail 0 Signature Confirmation <br /> 7 019 2280 0001 8254 914 9 0 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />