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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse Agent <br /> so that we can return the card to you. ddressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Print C. Date of Delivery <br /> or on the front if space permits. (� , 12 l, <br /> 1. Article Addressed to: D. I ell dress different fr item 1? 0 Yes <br /> If YES,enter delivery acITW elow: 0 No <br /> Anthony Brklach - �`1P►� L <br /> Hourglass Sands, LLC DFR��� �taN <br /> 1183 East Canvasback Drive D�VIMNNGPNpSAF <br /> Terre Haute, IN 47802 <br /> 3. Service Type 0 Priority Mail Express(D <br /> II I III fl I�I 'I I III I I I III I I III II III I III ❑ ult Sign t ❑Signature Restricted Delivery Reg d ist red Mail Restrictec <br /> 9590 9402 5506 9249 0547 84 [ Certified MaliB Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. 10 Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> ❑Signature Confirmation <br /> 7 019 2280 0001 8254 9088 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />