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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. ' nature <br /> • Print your name and address on the reverse X " i,, ■ ent <br /> so that we can return the card to you. f� t A � ❑Addressee <br /> Ill Attach this card to the back of the mailpiece, -ecei red by r.'!•TrF 41'111C. Date of Delivery <br /> CP <br /> or on the front if space permits. ,11 • E.I f , a c S? <br /> 1. Artir•.lA Aririracc.A+,, D. Is deliv- 4i+�f•ress diff-"z).fro lie 1? 0 Yes <br /> If YES, = • delivery\•dress•-10 : 0 No <br /> Dustin Hribar aQ <br /> Huerfano County )4.' . e <br /> 1038 Russell Ave <br /> Walsenburg, CO 81089 <br /> I I'll I IIII III Il Ill1I 'llllllIIIII i 111 I I 3. Service Type ❑PriorityeMail Express® <br /> ❑Adult Signature 0 Registered " <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restrictec <br /> 'A Certified Mall® ive <br /> 9590 9402 4401 8248 9016 30 0 Certified Mail estricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmatlonTM <br /> O Insured Mail 0 Signature Confirmation <br /> I- I u u -- n Insured Mail Restricted Delivery Restricted Delivery <br /> r ,.,.or$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />