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SENDER: 41)r °LETE TH!S SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,at -3:, A. Signet <br /> • Print your name and ands on the reverse ❑Agent <br /> so that we can return the card to you. `] Addressee <br /> ■ Attach this card to the back of the mailpiece, <br /> B. R eived by(Printedre) C. Date of Delive <br /> �02� <br /> or on the front if space permits. 4,,., t tJ — <br /> 1. Article Addressed to: D. Is delivery address different fro 'em 1? ❑Yes <br /> – --- If YES,enter delivery addre •elow: deo <br /> Sam Keeling ✓� <br /> P 0 Box 361 <br /> La Veta, CO 81055 <br /> 3. ServiceType o Priority Mail Express®i1111111 ' II111111 VIII III <br /> IIIIIII III ❑Adult Signature ❑Regitered <br /> MaiITM <br /> ❑Adult Signature Restricted Delivery 0 Registered Mail Restrictec <br /> ❑Certified Mail® Delivery <br /> 9590 9402 8259 3094 0400 28 ❑Certified Mail Restricted Delivery 0 Signature Confirmation'' <br /> ❑Collect on Delivery 0 Signature Confirmation <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery <br /> 9589 0710 5270 0839 8570 63 strictedDelivery <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />