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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVEPY <br /> ■ Complete items 1,2,and 3. A. Signature , ) <br /> ■ Print your name and address on the reverse 13 Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. D. Is delivery a ? ❑Yes <br /> If YES,a ery address be ❑No <br /> Bruce Newell �N <br /> P.O. Box 37 <br /> Divide, CO 80814 2�� <br /> II I'IIII III III I II III II IIIIIIII I IIII I III 3. Service ❑Prio' I ExpTress® <br /> El Adult Signet ❑R Mall <br /> ❑AduR ed�i ed Delivery Mail Restricted <br /> 0 Certified Mai <br /> 9590 9402 4401 8248 9108 47 ❑Certified Mail Restri £L alum Receipt for <br /> El Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery 11 Signature ConfirmationTm <br /> Grtlnla Ni impar Rransfer from service label) • cured Mail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 1915 cured Mail Restricted Delivery Restricted Delivery <br /> war$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />