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. . 'os a ervice <br /> CERTIFIED MAIL° RECEIPT <br /> 17.1 Domestic Mail Only <br /> or delivery information,visit our website at www.usps.com'. <br /> FF CIAL USE <br /> Certified Mail Fee <br /> m $ <br /> ti Ext <br /> Postage: <br /> '~ `' <br /> r <br /> C3 c Certified Fee: - $3.350 <br /> o Return Receipt Fee: <br /> 6.770 <br /> NOVYt�017 <br /> Poe <br /> furl TouTotal Postage &Fees: I <br /> $ <br /> ..3 Ser,t To <br /> r9Mr. Ricky W. Mitchell <br /> o Street and Apt Na.,ort Box-No:------ <br /> r` P.O. Box 10 <br /> City&tate,21P+0RPTIT1etr_ CO R0102 <br /> • <br /> CertifiedMeibservice provides the following benefits: <br /> •A receipt(this ion ofbie c eryo n lane). for an eTecTromc return receipt,see a retail <br /> •A unique identifier for our male associate for assistance.To receive a duplicate <br /> •Electronic venF ei d tte t d return receipt for no additional tee,present this <br /> delivery.����� ���((,� �� �, / Damsel-posifti88ik�d Certified Mail receipt to the <br /> •A record rp flhcl 7 prg fltt�t¢Clpi✓sntA" retail associate. <br /> signature)that is retained by the Postal Service- -Restricted delivery service,which provides <br /> for a specified period. delivery to the addressee specified by name,or <br /> to the addressee's authorized agent. <br /> Important Reminders: -Adult signature service,which requires the <br /> •You may purchase Certified Mail service with signee to be at least 21 years of age(not <br /> First-Class Mello,First-Class Package Service®, available at retail). <br /> or Priority Mail®service. -Adult signature restricted delivery service,which <br /> •Certified Mail service is not available for requires the signee to be at least 21 years of age <br /> international mail. and provides delivery to the addressee specified <br /> •Insurance coverage is not available for purchase by name,or to the addressee's authorized agent <br /> with Certified Mail service However,the purchase (not available at retail). <br /> of Certified Mail service does not change the •To ensure that your Certified Mail receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priority Mail items. LISPS postmark.If you would like a postmark on <br /> •For an additional fee,and with a proper this Certified Mail receipt,please present your <br /> endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for <br /> the following services' postmarking If you don't need a postmark on this <br /> -Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion <br /> of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply <br /> You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. <br /> electronic version For a hardcopy return receipt, <br /> complete PS Form 3811,Domestic Return <br /> RectrMeiiptt�a}tttach PS Form 3811 to your mailpiece; IMPORTANT.Save this receipt for your records. <br /> PS Form ,Apn1 0,5( averse')'PSrJ7S3I 0%9 ;15,Denver,CO 80203 <br />