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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Sig f t1re <br /> • Print your name and address on the reverse X4 <br /> / 0 Agent <br /> so that we can return the card to you. A / _k,,,_4,„ li ■ Addressee <br /> • Attach this card to the back of the mailpiece, B. Received by(Printed ame) C. Date of Delivery <br /> 1 or on the front if space permits. <br /> D. Is delivery address differe • D D Yes <br /> If YES,enter KKByer tl I D No <br /> Dave Hornung �Gw/ <br /> Kit Carson County <br /> P O Box 160 ,UN 13 2024 <br /> Burlington, CO 80807 amation, <br /> M-2006-047 ERR o p;vtson ofR,e <br /> — ervice TypeCO 0 PsM1n�n9 a(1I prior ty Mail Express® <br /> HU III II I'll III I III 1111 liii I I 111111111V LI Adult ed Mailmt <br /> 0 Adult Signature Restricted Delivery 0 Registenature 0 rred Mail Restrictec <br /> 0 Certified Mail® Delivery <br /> 9590 9402 5506 9249 0456 14 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> i 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> n mewed Mail 0 Signature Confirmation <br /> 7 019 2280 0001 8255 2064 Mali Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />