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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. S' ature <br /> ■ Print your name and address on the reverse. X gent <br /> so that we can return the card to you. dresses <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Print Name) C. Date of Delivery <br /> or on the front if space permits. [Now 9% 1 <br /> 1. Article Addressed to: ar"' Ili ery address different from item 1? ❑Yes <br /> U5 tS WK I K L � S,enter delivery address below: ❑ No <br /> 23L7SDECKER LAKE DR <br /> SALT LAKE CITY UT 84119 1 7 <br /> PRG43LLG 3RD QTR 2016 OCT4 <br /> RE 712 S ANTEROS AVE.,STKIVERVIRO�MEN T \A"ES <br /> _ PERMIT(SE9UNIT 11-H <br /> ^ 3. Service Type ❑Prior ty Mail Express® <br /> II I'I'I'I I'II I'I II II III II III II I I II II II II^II III <br /> "Adult Signature 0 Registered MailT" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> rtified Mail® Delivery <br /> 9590 9401 0058 5071 6140 46 0 Certified Mail Restricted Delivery Aml- aurn Receipt for <br /> :1 Collect on Delivery Merchandise <br /> ? n+; io�;,,,tie. rM ^f, ^ ,;^_; ._; �^^^ ^^Delivery Restricted Delivery 0 Signature Confirmation7m <br /> Confir <br /> 7 015 0640 0007 1119 0796 it Restricted Delivery 0 Restrriict d Del veerytion <br /> PS Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />