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TIa. <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> A. Sin urre I , <br /> ■ Complete items iy2,and 3. 9 j �"'� <br /> ■ Print your name and address on the reverse ,L U ❑Agent <br /> so that we can return the card to you. XL- ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) Date of Delivery <br /> or on the front if space permits. _ 1---- . <br /> 1. Article t to: D. Is delivery add item 1? CF Yes <br /> Ain&ea Holley If YES,enter d ow: ❑No <br /> H&amp; H Stone ��G AF L� <br /> P.O. Box 246 C co <br /> Dove Creek, CO 81324-0246 V NIS OFR-E T10dN <br /> GAN3. . o <br /> I I III I IIII III I IIII' IIII IIIIII I I I I III Mail- <br /> ElEl Adult ice Type Priority l <br /> Sig turre Restricted Delivery ❑Registered edMail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 4898 9032 9062 39 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> El Collect on Delivery Restricted Delivery Signature Confirmation^' <br /> a tide Number(Transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> Oj l Restricted Delivery Restricted Delivery <br /> 7 017 2400 0000 9119 0870 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Return Receipt <br />