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• Complete Items 1, 2, and 3. Also complete A. � Signs 0 Agent <br />item 4 if' Restricted Delivery is desired. X <br />• Print your name and address on the reverse Addressee <br />so that we can return the card to you. . eceiv (Prl Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on -the front if space permits. tram 1? •� Yes <br />D. Is delivery addre <br />1. Article Addressed to: II YES, enter Wk. d ^ r���tiel. [3 No <br />Dana L. Christiansen <br />12269 CR 64 1 /2 <br />Greeley, CO 80634 <br />N 2 0 2009 <br />3 Service T <br />P Certified proms <br />O Registered r : Return ReceVfor Merchandise <br />0 Insured Mail LI7: O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7007 0 710 0005 18 5 3 4 815 <br />(Transfer from service label) <br />P3 Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03- P4091 <br />I (Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.comj� <br />I I <br />BOO, AL19 -;1 2000 <br />• Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />• Print your name and address :)n the reverse <br />so that we can return the card to you. <br />• Attach this cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />■ r <br />i <br />Q' Domestic Mail O nly; <br />...o For delivery information visit our websi <br />p <br />m � <br />U1 y , <br />G <br />Co $ <br />CerdQed Fee <br />u'IStrnatk <br />O Return Receipt Fee f r <br />° (Endorsement Required) , I . Here /1 r <br />C3 , � <br />Restdcted De Fee <br />° / <br />Endorsement Rdredl <br />( Sj <br />r3 <br />f` Total Post <br />° Dennis L. and Rebecca L. <br />nto Dougherty <br />0 1808 74 Avenue -- <br />1 <br />° or POBoxn Greeley, CO 80634 -8605 <br />PS Form f:Ny, State. � <br />:,, August 2006 <br />COMPLEIS THIS SECTION ON DELIVERY <br />A. ;V <br />X r MA�Hpo Agent <br />d dressee <br />B. Received by N ) C. Date Delivery <br />I <br />D. Is delivery t Item 1? 0 <br />if YES, enter Ivery address ba .1 13 o i <br />i <br />I <br />Dennis L. and Rebecca L. <br />Dougherty <br />180874 th Avenue <br />Greeley, CO 80634 -8605 <br />3. Service Type 1 <br />10 Certified Mail ❑ Express Mail <br />0 Registered IS Retum Receipt for Merchandise <br />0 insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7007 0710 0005 1853 4679 t <br />Mansfer from service JaW <br />P3 Form 3811, February 2004 Domestic Return Receipt 1025e5424A-1540 <br />Co Postage <br />Certltied Fee <br />O� <br />0 1 <br />Ln <br />✓� <br />kos <br />° <br />° <br />Return Receipt Fee <br />(endorsement Required) <br />/ \ <br />• 30 <br />Q <br />° <br />Re a' Delivery <br />Required) Fee <br />C <br />us? <br />° <br />(Endorsement <br />.� <br />r3 <br />r- <br />Total Pa <br />° <br />Dana L. Christiansen <br />r- <br />° <br />3stieei Aio3 12269 CR 64 1 /2 <br />-•- <br />r ° - <br />wrr,eox Greeley, CO 80634 <br />- <br />•L`1ry' 3Yaie, <br />BOO, AL19 -;1 2000 <br />• Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />• Print your name and address :)n the reverse <br />so that we can return the card to you. <br />• Attach this cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />■ r <br />i <br />Q' Domestic Mail O nly; <br />...o For delivery information visit our websi <br />p <br />m � <br />U1 y , <br />G <br />Co $ <br />CerdQed Fee <br />u'IStrnatk <br />O Return Receipt Fee f r <br />° (Endorsement Required) , I . Here /1 r <br />C3 , � <br />Restdcted De Fee <br />° / <br />Endorsement Rdredl <br />( Sj <br />r3 <br />f` Total Post <br />° Dennis L. and Rebecca L. <br />nto Dougherty <br />0 1808 74 Avenue -- <br />1 <br />° or POBoxn Greeley, CO 80634 -8605 <br />PS Form f:Ny, State. � <br />:,, August 2006 <br />COMPLEIS THIS SECTION ON DELIVERY <br />A. ;V <br />X r MA�Hpo Agent <br />d dressee <br />B. Received by N ) C. Date Delivery <br />I <br />D. Is delivery t Item 1? 0 <br />if YES, enter Ivery address ba .1 13 o i <br />i <br />I <br />Dennis L. and Rebecca L. <br />Dougherty <br />180874 th Avenue <br />Greeley, CO 80634 -8605 <br />3. Service Type 1 <br />10 Certified Mail ❑ Express Mail <br />0 Registered IS Retum Receipt for Merchandise <br />0 insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7007 0710 0005 1853 4679 t <br />Mansfer from service JaW <br />P3 Form 3811, February 2004 Domestic Return Receipt 1025e5424A-1540 <br />