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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sig <br /> ■ Print your name and address on the reverse X 0 Agent <br /> so that we can return the card to you. ressee <br /> ■ Attach this card to the back of the mailpiece, B. ceived by(Printed Name) C. Date <br /> or on the front if space permits. _ 17—,217 <br /> 1. Article -- - D. s delivery address different from item 19 J3 Yes <br /> . If YES,enter delivery address below: ❑No <br /> Danny D. Rogers UL 2 c.� <br /> Washington Co. / V <br /> 551 W. Second r MA10, <br /> Akron, CO 807.. IVISION ETY �?�,� �C <br /> M1N►P1�NO <br /> II I'll II IIII 'I I II II i I'II I I I I I ' III III 3. Service Type Priority Mail Express 0 ® <br /> ❑Adult Signature Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 5506 9249 0541 80 ❑Certified Mails Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 9 Arfinla hl—l—IT—cf.r— nn Delivery Restricted Delivery El Signature ConfirmationTM <br /> via!l ❑Signature Confirmation <br /> 7018 2290 0001 8923 6071 vlail Restricted Delivery Restricted Delivery <br /> lover$5U0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 An/% -- Domestic Return Receipt <br />