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• <br /> • <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X O Agent <br /> ent see <br /> so that we can return the card to you. <br /> ■ Attach this card to the back of the mailpiece, S. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to• D. Is delivery address different from kern 1? ❑Yea <br /> Vtban IX- If YES,enter delivery address below: p No <br /> 2/05 (Clef ra C,z4" <br /> Caviar Crky, Co $ii12 <br /> 1111111113. Service Type 0 Priority Mall Expresa <br /> 11111111111111111111111111111111 0 Adult irti <br /> ❑Adult Sign Restricted Delivery 0 Re erect lirkiMa Mal Restricted <br /> very <br /> 9590 9402 8748 3310 9271 18 ❑CertIlled Mall Restricted Delivery jdSignature ConflmsationTM <br /> D Collect on Delivery Q Signature Confirmation <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery Restricted Del'very <br /> d Ma l <br /> 9589 0 710 5270 1124 7354 17 soMo)I Restricted oellvery <br /> I PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt <br />