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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete �iteli61, nd 3. A. Sigrm;ore C)G <br /> ' 0 Agent <br /> 1 <br /> ■ Print your name�;''d address on the reverse X � ❑Addressee <br /> so that we cart-f@'Eur►7 the card to you. ,4m/r <br /> ■ Attach this card to the back of the mailpiece, B. Reryed by(Pn ed, ame) C. Djte of D live <br /> or on the front if space permits. <br /> 1. F - D. Is delivery m item 1? ❑Ye <br /> If YES,ent r *l 0 No <br /> Randy & Christine Ross MAY <br /> 434 Private Road 3591 5 2021 <br /> Piedmont, MO 63957 D1v/s01V0F LA <br /> REC <br /> Service Type 16 Priority Mail Express@ <br /> ❑Adult Signature ❑Registered MalIaiITMTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 5506 9249 0540 81 ❑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 /> lail ❑Signature Confirmation <br /> 7 017 2400 0000 9205 6632 W la)il Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />