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SENDER: COMPLETE THIS SECTION <br />■ Complete items 1, 2, and 3. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Hall 16-121 <br />Boot Willis <br />379 N. Walnut <br />Grand Island, NE 68801 <br />111111111111 <br />I II <br />1111 111 <br />COMPLETE THIS SECTION ON DELIVERY <br />111111111111 <br />9590 9402 4159 8092 5779 51 <br />A. Si <br />X <br />na <br />ure <br />B. Received by (Printed Name) <br />0 Agent <br />0 Addressee <br />C. Date of Delivery <br />zz-1 <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />• <br />2. Ar <br />— - rr.,ncfar from service label) <br />3. Service Type <br />❑ Adult Signature <br />0 Adult Signature Restricted Delivery <br />0 Certified Mail® <br />0 Certified Mail Restricted Delivery <br />0 Collect on Delivery <br />0 Collect on Delivery Restricted Delivery <br />d Insured Mail <br />0 Priority Mail Express® <br />0 Registered MaiUTM <br />0 Registered Mail Restricted <br />Delivery <br />❑ Retum Receipt for <br />Merchandise <br />0 Signature CofIrnatiOnTM <br />0 Signature Confirmation <br />7 018 3090 0001 8106 0260 tricted Delivery Restricted Delivery <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />6Z t 0091900 dZE'0 <br />6toZi6t/k0 <br />£0889 woad palien <br />sseialsaid <br />a08-90$ <br />3 V1 SOd Sfl <br />y <br />Domestic Return Receipt <br />£0889 3N 'Pets' pueJD <br />and opixaw MaN I£tb <br />.11a.10 1 elpelS <br />IZI-91 IIeH <br />2220 9079 7000 060E 9T0L <br />��plllllal�lll�l�lllal� �3I,3,z,.v,,,u3z„�za.,. <br />L05Z-t5I89 E)Js.tgN 'EyEuw0 <br />00I atlnS 'Iaa»S TCI I 'N 50f' <br />DTI cs;ssy S(1 <br />