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COMPLETE . •MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatur ❑Agent <br /> ■ Print your name and address on the reverse X � El Addressee <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, B. a eived ley(Pr' ed Nam) C. Date of Delivery <br /> or on the front if space permits. A4I <br /> 1. Ar" ' " '` D. Is delivery addres m 1? Y s <br /> If YES,enter delivery a r -p No <br /> a <br /> Melvin J. Brandstadt 40 2 <br /> 19239 G Road DI i 10 �� �'l <br /> Delta, CO 814163. NG�N F�(q <br /> II I'I II IIII III I II II I I it III I I III��II II III Service Type Priority Mail Expresso <br /> El <br /> ❑Adult Signature O Registered MaiIT^' <br /> ❑Adult Signature Restricted Delivery O Registered Mail Restricted <br /> ❑Certified Mail@ Delivery <br /> 9590 9402 5506 9249 0544 01 ❑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 /> 7 Insured Mail ❑Signature Confirmation <br /> 017 2400 0000 9119 413 7 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />