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•.•.8h0 <br /> COMPLETE17 <br /> •N COMPLETE THIS SECTIONON <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X lb Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, R eceived by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. T:� — <br /> 1. Articles D. Is delivery addr ss different from item 1? ❑Yes <br /> If YES,enter delivery address below: J540 <br />• Fred Lundy <br /> Lincoln County <br /> P. O. Box 39 <br /> Hugo, CO 80821 <br /> it I IIIIII III)III I III II I I(�II II I I I II II II III 3. S a Type ❑Priority Mail Express® <br /> ❑AdultdultService <br /> Signature ❑Registered MaiIT"^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mall® Delivery <br /> 9590 9402 5506 9249 0535 34 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm <br /> ❑Signature Confirmation <br /> 7 016 2140 0000 2346 2305 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />