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D <br />11.1 <br />cCI <br />N <br />D <br />Ir <br />ru <br />D <br />D <br />D <br />D <br />Li" <br />m <br />r-1 <br />rR <br />U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.coms <br />Postage: <br />Certified Fee: <br />Retr Return Receipt Fee: tJ <br />T7 <br />Restrict' Total Postage & Fees;_ <br />(Endorse! <br />(Endorse! <br />Total Postage & Fees I $ <br />Sent To <br />Street Apt. No.; <br />or PO Box No. <br />City, State, ZIP +4 <br />Donald R Hart <br />3500 Clear Fork Rd. <br />Crawford, CO 81415 <br />PS Form 3800, August 2006 <br />See Reverse for Instructions <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 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 />_s <br />Dftld R Hart <br />35 Clear Fork Rd. <br />Craw'1`ord, CO 81415 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />$0.45 <br />$2.95 <br />$2.35 <br />$5.75 <br />COMPLETE THIS SECTION ON DELIVERY <br />❑ Agent <br />❑ Addressee <br />B. Rec ed by ( tinted Name) C. Date of Delivery <br />n040 Ha r f /1 1) <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: /}. No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7011 3500 0002 9607 8920 <br />Domestic Return Receipt 102595 - 02 - - 1540 <br />°W) - D - a q1 <br />9 /1 <br />(--C1 1)4(11 / <br />eCe--;1:1 <br />On'lei /6/ <br />/€ r <br />