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M - � � c(I)s - <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 />Danielle Wiebers <br />Colorado Lien Company <br />P.O. Box 440 <br />Rapid City, SD 57709 <br />v <br />A. Signature <br />❑ Agent <br />X DEC 2 6 2011, ❑ Addressee <br />B. Received b�(Printed Name) C. Date of Delivery <br />D. Is deliver address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® 0 Priority Mail Express7' <br />❑ Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 0150 0 0 0 0 9138 3231 <br />(Transfer from service label} -- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />r-1 , • <br />m pwfvw <br />m Post7�Fee�: r✓� <br />E Certi �Q a Return ecep Fee �C22'� <br />o Total Postage & Fees: <br />C3 Retun. �. Pn 1 <br />M (Endorsement Required) <br />Restricted Delivery Fee <br />[:3 (Endorsement Required) <br />un <br />r.q Total Postage & Fees <br />[7 reuee u �mpany C�ojorado s �^ <br />F ........ P.O. Box 440D 57709 <br />---- <br />0 o.; FUOd City. <br />o. IP +4 <br />