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<br /> � � � A. Siynature
<br /> � ■ Complete items 1,�, �nd `3. �
<br /> m �• = • ■ Print your name and address on the reverse X—I �- C�� �S �90ent
<br /> mso that we can return the card to you. �� �A��� '
<br /> 1 B�i 94 t on+ �0,306�J3 ■ Attach this card to the back of the mailpiece, B• Received by(Printed Name) C. Date pof DeBvery
<br /> � ' - or on the front'rf space permits. �� J�'�'(�C,�C�. 3 Z C^
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<br /> ��,rified MaII Fee � � _ _— __ — _- —— -- �
<br /> � �:i.d� ' �.1��7 � D. Is delivery address different from item 1? ❑Yes
<br /> �' t�a ees(u�ckeox�y�e� �e� Qg Toby L Struck if YES,ente�delivery address bebw: td�le
<br /> o ', .��„�`� s- ��� �,� 527 County Road 23 h
<br /> o ; ❑�,�.,��«,o��«„ 5.���_ 11,UZg��, Brighton, Colorado 80603-9233
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<br /> ;-�q[tUR$IOrrWe Fl��s:�lc:ea De�ivery 5�U•L���
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<br /> � ',P�>SSage
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<br /> � �7otai and Fees � [1�/2b/�(1y'1 3. SBNICe Type ❑Prlorky Mall Exprese�
<br /> � �7,I,iQ I II I�II'I I'I��II I II I'I(IIII I I I I I I'I II�II I III ❑Adutt Signatwe C Raglstered Mail*"
<br /> I$ ❑Adutt Siqnature Restrcted Del)very U Registered Mell ResMctad
<br /> � it;antTb - ----- ----- - - ❑Certified Mail� Delivery
<br /> � � '!'oby t.Struck _ ----------- -- 9590 9402 5029 9�63 0479 13 ❑c.ert�ned►�aa Restr�cted�tireq/ O Return Receiptior
<br /> � ''`-�----•- __7 Counry Road 23'/� e,y ���� n Merohandise TM �
<br /> � Srrcet ertd�: � i� ❑Co��ect on Pelivery R ' ivery Signature Confvrtiation
<br /> Brighton,Colorado 80603-9233 ___._________. ' 2. � � �� ' ' � " � � � G S�gnamreConFlrmatfon �
<br /> `�'�'��$�« 7 018 2 2 9 0 ���1 9 4 91 3 4 3 7, ��p&,,,�, �ac�a oeu�� �
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<br /> �"'`� PS Form 3611,July 2015 PSN 7530-02-000-9053 Domestic Retum Receipt ;�
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<br /> ■ Complete iiems i,2,ar�a 3. � �
<br /> � ` � , ■ Y X � � �� /�� p qq9qt
<br /> ■ Print our npme and address on the reverse �- �dr�see
<br /> .� �' ' ' ' so that we can return the card to you.
<br /> m • � . ■ Attach this card to the back of the mailpiece, B• Recefved by(Prinied Name) C. Date of Delivery
<br /> ►'I 9 OA� � $(J�3 . or on the front if space permits____ � ' ,3 =2� ZL
<br /> . — ----- - - -
<br /> ��. . . . . _
<br /> -- -----_. _--_____r_ °.>. D. Is delivery address diff t from item 1? O Yes
<br /> :.;.. ,. - '
<br /> " � " =3.SU ' H YES,enter deliv address below: [�.�
<br /> `� p�97 Nolar, ai�d lennifer Hussey �
<br /> rt' � �°'�'°`'`�"'°�'��'���°'� Gg 1058 C�unty Road 23 %
<br /> ❑��o�.�, s_ . "� �
<br /> 0� ' r,w���� : s�-� ' : t��+Z a'� Brighton, Colorado 80603-9205
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<br /> � �°•�°. :a.�s _ _-_
<br /> m II I IIIIII I'll I'I I(I III I II'III I (I(I'�I IIIII((II ❑nawNs�,ac reBRe�cted o��y �R��a nneu ae�vicced
<br /> '� T� s�F 03/26/2021 O Adult SignaWre G Registered MaiIT"
<br /> � : !9':r►n �
<br /> 9590 9402 5029 9063 0479 44 °�'f�a"��� °8`'"a""
<br /> ca Senf To — . _ _ - � — — - , ❑CeRifled Mail Reatricted Deli�rery ❑Retum Receipt for
<br /> ,-q Nolan and Jennifer Hussey ' ❑co�iect on�ivery Mercnandise
<br /> ----• ty � .-- _ lelfvery Restricted Delivery ❑Slgnature ConfirmedonTM
<br /> O endAF' 1058 Coun Road 23 /. _ ----•-----•------- 2 . . - - .
<br /> Iti ' ❑Signature Confimiation
<br /> �i"ry;'�e:zo-. Hrighton.Colorado 8(X�03-9205 ------------------� ' 7 I�18 1,13� 0�01 3 916 3 5 6 5 �����, ,���,;,,�,
<br /> I (over 3500)
<br /> ��� •• � • PS Form 3811,July 2015 PSN 7530-02-000-9053 ' Domestic Retum Recefpt �
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