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COMPLETE • <br /> ■ Complete items 1,2,and 3. A Ignatu <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) 6. ENte of Delivery <br /> or on the front if space permits. <br /> Is delivery address different from item 1? ❑Yes <br /> If YES,enter�,p[address below: ❑ No <br /> Al,in &. Patricia Mosch IE <br /> CE'�ED <br /> PO Box 1484 <br /> Idaho Springs. CO 80452 Vn06 <br /> JcsM-1982-075 P. Hates Icj 0 <br /> I ( � <br /> 3 Service Typ�`)N(NGAI AQQaail Eaxpress® <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2543 6306 1125 48 ❑Certified Mailer Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM <br /> r Insured Mail ❑Signature Confirmation <br /> sured Mail Restricted Delivery Restricted Delivery <br /> 7 017 2400 0000 9119 144 0 ver$5 0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />