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m Complete items 1,2,and 3. A. Signature <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, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front If space permits. <br /> 1. Article Addressed to: D. is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: [] No <br /> Deb RLI'dibaugh <br /> 5291 CR 76 <br /> Parlin, CO 81239 <br /> !I I illlll IIII III I III II I I III II I I IIIII I II I III 3. Service Type ❑Priority Mail Express® <br /> 13 <br /> ❑Adult Signature ❑Registeredred Mai1TM <br /> ❑Adult Signature Restricted Delivery ❑Re istered Mail Restricted <br /> El Certified Mail® Delivery <br /> 9590 9402 5506 9249 0548 21 ❑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 /> ❑Signature Confirmation <br /> 7 017 2400 0000 9119 0900 1g,il Restricted Delivery R s�ted De+f�=�z <br /> I PS Form 3811,July 2015 PSN 7530-02-000-9053 Of41Z pp Z Domestic Return Receipt <br /> Postal <br /> o RECEIPT <br /> t3 o Domestic Only <br /> �. o 0 <br /> rr Ir <br /> C3 C3 <br /> IT Er Certified Mail Fee <br /> ra ra <br /> --- ra r=1 $ <br /> ® p^ Q^ Extra Services&Fees(check box,add fee as appropriate) <br /> ® ❑Return Receipt(hardcopy) $ <br /> e c3 p ❑Return Receipt(electronic) $ _ Postmark <br /> - C3 0 ❑Certified Mail Restricted Delivery $ Here <br /> .r 0 I= ❑Adult signature Required $__ <br /> C3 C3 ❑Adult signature Restricted Deuvery s <br /> O C3 Postage <br /> e� E3 IZ-3 S — —— <br /> r_r_— -1- .2- Total Postage a-- <br /> —ta® ru ru $ <br /> N r- Sent To Deb Rudibaugh - <br /> C] StreetertdApt:N 5291 CR 76 -------------------------- <br /> City State,21P+4 <br /> Parlin, CO 8123 <br /> r „r <br />