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SENDER: ON VELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Si ure <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> 7T <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. ived by(Printed N e) C. ate of Deli <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. TIT 5ye- <br /> D. s delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Liberty Mutual Surety <br /> 14123 Denver West Pkwy 3. Service Type <br /> Golden, CO 80401-3116 g Certified Mail® ❑Priority Mail Express- <br /> ❑Registered ❑Return Rgceipt for Merchandise <br /> ❑ Insured Mail ❑Collect 2V Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7 014 015 0 0000 913 8 1596 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />