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Postal <br /> CERTIFIED o RECEIPT <br /> Ir Domestic Mail Only <br /> It _ <br /> co a <br /> 9'.1 <br /> C3 <br /> rU <br /> ' i <br /> Ln Certified all Fee <br /> rR $ \"lJ <br /> cO Extra ervices&Fees(check box,add fee as appropriate) 1Q\�car,L� <br /> ❑Retum Receipt(hardwPY) $ \ � -��� <br /> C3 ❑Retum Receipt(electronic) $ Postm <br /> � []Certified Mall Restricted Delivery $� Here <br /> C3 ❑Adult Signature Required $ la-kf d <br /> C3 ❑Adufi Signature Restricted Delivery$ V`L/`'`� <br /> O Postage <br /> Ln $ LICENSING <br /> Q Total Postage ar RE:CHIPOTLE MEXICAN GRILL#2865 <br /> $ <br /> .-q sent To PO BOX 182566 <br /> ru <br /> 0 $irieefandApEN COLUMBUS, OH 43218 <br /> Re: PR0541495 Rtn: NL <br /> i <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature � <br /> ■ Print yo rUro <br /> reverse X G� ❑Agent <br /> so thatWax <br /> [rrh . 1:1 Addressee <br /> ■ Attach this o taail iece B. Receiv ted Name) of Delivery <br /> P <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery ad cess ere;; item 1? ❑Yes <br /> LiCENSINI� If YES,enter deliv,ry addresw: <br /> ( No <br /> RE:Ci G.-OTLE MEXICAN GRILL#2865 <br /> PO BOX 182566 l <br /> COU"'GUS, OH 43218 2022 <br /> Re: PK, :1495 Rtn: NL <br /> II I II�III III II I I III II I I VIII I II I I I IIII I I 3. Service Type ❑Registered <br /> Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT'^ <br /> ❑�yAdult Signature Restricted Delivery ❑Registered Mail Restricted <br /> p Certified Mall® Del_iLery,, <br /> 9590 9402 6743 1060 8621 62 ❑Certified Mail Restricted Delivery ❑Signature Confirmation- l <br /> ❑Collect on Delivery ❑Signature Confirmation <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery Restricted Delivery <br /> 7021 0350 0000 8150 2879 Insured oil <br /> flail Restricted Delivery <br /> PS Form 3811,July 2020 PSN 7530-02-000-9053 Domestic Return Receipt t <br />