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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sig <br />X <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />7- <br />Barnes Greg & Michelle <br />6941 RCR 65 <br />Hayden, CO 81639 -9751 <br />ature <br />o <br />B. Received b to rN <br />('Prini ed Name) <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number <br />(Transfer from service h 7008 3230 0002 7252 5059 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />30 -ll <br />D. Is deliv addrdss different from item 1? ❑ Yes <br />If YES enter delivery address below: ❑ No <br />r <br />3. Service Typ <br />❑ Certified Mail ro b. Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />