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M 195s1 -30A <br />(am,- )4 � I 'erj Mct-)' I- L�)c. i�eplace <br />■ Complete items 1, 2, and 3. Also complete A. S' azure <br />item 4 if Restricted Delivery is desired. X /ij� Agent <br />• Print your name and address on the reverse Addressee <br />so that we can return the card to you. R ceived by (Printed )lame) C. D to o�Jlvery <br />■ Attach this card to the back of the mailpiece, ��or on the front if space permits. � <br />1. Article Addressed to: <br />Mr. Mason King <br />P0 Box 68 <br />Cope, CO 80812 <br />D. Is delivery address different from item 1? Cl Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />0 Certified Mail® ❑ Priority Mail Express- <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />Mransfer from service label) 7 012 3460 0 0 0 0 6385 0 7 0 6 <br />NS Form Otil 1, July 2013 Domestic Return Receipt <br />U.S. Postal <br />Service TM <br />CERTIFIED <br />MAILTM RECEIPT <br />(Domestic Mail <br />Only; No Insurance Coverage Provided) <br />r <br />For delivery information <br />visit our website at www.usps.com® <br />CO <br />M <br />1 69 <br />postage: <br />1 <br />Certified <br />r <br />r Return Receipt <br />C3 <br />1 <br />Fee: Here <br />OCT 1 • <br />j • postage <br />rees <br />r <br />• • <br />or LTo <br />No <br />• i• •i <br />, <br />••e iii <br />ee everseforInstructions <br />