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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. signature <br /> ■ Print your name and address on the reverse X (/i <br /> ❑ <br /> so that we can return the card to you. �C n Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Na4y C. Date of Delivery <br /> or on the front if space permits. -/f/ Ik <br /> — <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: Nc- <br /> - esslca rlgetto <br /> The Citizens State Bark o1 Ourav <br /> 111 Hwy 97 <br /> P 0 'Box 160 <br /> Naturilta, CO 81.122 <br /> I I III IIII II I I II I I I I II III I II I I I II ('I 3. Service Type ❑Priority redd Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> W❑ duIt Signature Restricted Delivery ❑Registered Mail Restricted <br /> ertitied Mail® Delivery <br /> 9590 9402 3488 7275 7556 83 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation^" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2904 6 3 9 7 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />