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C�1ZDaDlI� <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A, i nat <br /> item 4 if Restricted Delivery is desired. C ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. R eived by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Jim and Karla Willschau <br /> 1410 C R 2 E. 3. Service Type <br /> Monte Vista, CO 81144 Q-tertified Mail® ❑Priority ail Express' <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) ?014 2120 0001 ?8 6 9 5939 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />