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COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> a 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. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B.Aeceived by Printed Name) C. Date of Delivery <br /> or on the front if space permits. It ? e r 11' ` 2-� <br /> 1. Ate^'^A,4,4 ,- ,i D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ,0-No <br /> 1 <br /> Fred Lundy <br /> Lincoln County <br /> P.O. Box 39 Hugo, CO 80821 <br /> �i'IIIII IIII III I II II I I III III I I I I r`11111111 3, Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered Mi❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> •Certified Mai @) Delivery <br /> 9590 9402 5506 9249 0535 58 ❑Certf led Ma I Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfar frn—sa 4— ClCollact <br /> on Delivery Restricted Delivery O Signature Confirmation'r" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2140 0000 2346 2299 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />