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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <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 mail piece B. Received by(Printed Name) <br /> p C. Date of Delivery <br /> + � <br /> or on the front if sDace Dermits. <br /> ' D.1s delivery address different U16m item 1? ❑Yes <br /> Tamara Myers e If YE w: [3 No <br /> � � <br /> a <br /> 4130 Anitra Circle <br /> Colorado Springs, CO 80918 �j 2 6 ZU21 <br /> M-2005-002 T Cazier <br /> III'll' III 'IIIIIIIIIIIII I'lll IIIII oAaulrvsc9aMINGANDSAfc�Priority RegiserediMa1ITMess® <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2543 6306 1134 91 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> n.rl'ia Ni mnber ffransfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationrM <br /> r]In ured Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 4268 3 Inssured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />