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1. Article Addressed to: <br />rs- <br />Q .. <br />rR <br />r1J <br />ra <br />Lri <br />cc) <br />1:0 <br />D <br />D <br />D <br />m <br />D <br />a <br />D <br />2. Article Number <br />(Transfer from service labl3q <br />PS Form 3811, February 2004 <br />U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website atwww.usps.com® <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />SENDER: COMPLETE THIS SECTION <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 retum the card to you. <br />• Attach this card to the back of the maiipiece, <br />. or on the front if space permits. <br />WESS AMBORSE <br />122 RANDAL LANE <br />PUEBLO CO 81001 <br />Domestic Retum. Receipt <br />09 <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP+4 <br />WESS HMIiOKSE <br />122 RANDAL LANE <br />PUEBLO CO 81001 <br />PS Form 3800. August 2006 <br />See Reverse for Instructions <br />COMPLETE THIS SEC -ION ON DELIVERY <br />A. Signal re <br />,.1 4 <br />�' et „ <br />B. Recei Printed u 4 . <br />Q. <br />D. Is • =livery gress different <br />If S, enter delivery a4dres. <br />G <br />3. Service Type <br />❑ Certified Mall <br />❑ Registered <br />❑ Insured Mall <br />100 <br />4. Restricted Delivery? (Extra Fee) <br />7010 3090 0001 8851 2197 <br />❑ Express Mall <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />1? ❑ Yes <br />❑No <br />❑ Yes <br />102595-02 -M -1540 <br />