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S ER- SECTION ON D <br /> END. ., COMPLETE THIS SECTION �COMLETE THIS ELIVERY, <br /> A. Sig <br /> I � ■ Complete items 1,2,and 3. 9nature t <br /> a ■ Print your name and address on the reverse X 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 t <br /> rM <br /> or on the front if space permits. r4 <br /> 1. Article Addressed to; N r"t <br /> D. Is delivery address different from item 1? 0 Yes <br /> a If YES,enter delivery address below: ❑ No r' <br /> cr <br /> 0 Mary Vasquez t <br /> 750 Crisman Dr. <br /> = Apt A201 <br /> Longmont, CO 80 t <br /> 3. Service Type tip �: r^ <br /> YP 0 Priori Mail Ex re a� <br /> t1 lT <br /> ss� I <br /> •» <br /> II II�I'I I'll 'I I�'I I III'II�I I I I'I'II I ❑Adult Signature O Registered Mail TM Ck Ln N` <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted W t�tD _,._. ' <br /> 1-4 <br /> 9590 9402 5506 9249 0484 62 El Certified Ma I Restricted Delivery ❑Return Receipt for r� "'Delivej } <br /> ❑Collect on Delivery Merchandise }«q 1 <br /> 2. Article Number(Transfer from service label) O Collect on Delivery Restricted Delivery Signature ConfirmationTM ua <br /> 'D Insured Mad 0 Signature Confirmation U <br /> 7 019 2280 0001 8254 713 8 ❑Insured Mail Restricted Delivery Restricted Delivery i <br /> (over$500) `"tJ Lu <br /> 3 PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ro <br /> �t <br /> X <br /> W <br /> Ln <br /> fU <br /> CO <br /> C3 <br /> o ' - N <br /> Q !r <br /> R� <br /> Q <br /> • CO N r �' <br /> ru > *a E <br /> �.� <br /> __ tr �'o �. c •� <br /> C3 � In Q o <br />