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Postmark <br />Here <br />$ Mr. Kent Rasmussen <br />.a Sent To <br />pC3 St�eefandApt. No., sr FDi3ozNo: 1772 Tipton Circle NW <br />Elk River, MN 55330 <br />----------------------- <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 mallpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Kent Rasmussen <br />11772 Tipton Circle NW <br />°'Elk River. MN 55330 <br />III�II�IIIII III�IIIIIIII�III' illll�l III <br />9590 9402 1603 5362 838144 <br />2. Article Number fTransfar from sarura /ahan <br />7016 2140 0001 1,474 1302' <br />PS Form 3811, July 2015 PSN 7530-02-000-9052' <br />T <br />f (. <br />B. Receivdd by (Printed Name) i C. Date of Dt <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: [3 No <br />3. Service Type <br />❑ Priority Mall Expm <br />ru <br />D. <br />Domestic Mail Only <br />❑ Adult Signature Restricted Delivery <br />mFor <br />- <br />delivery information, visit our websit, <br />Dellvery <br />:i.'I F F I C 11 Al. <br />Certified Mail Fee <br />J[ Return Receipt fo. <br />❑ Collect on Delivery <br />r -I <br />Extra Services & Fees (check hog, add fee as appropriate) <br />❑ Signature Conflm <br />❑ Return Receipt (hardcopy) $ <br />r'zl <br />C3 <br />0 <br />❑ Return Receipt (electronic) $ <br />❑ Certleed Mall Restricted Delivery $. <br />[]Adult Signature Required $ <br />❑ Adult Signature Restricted Delivery $, <br />l-3 <br />Postage <br />-I.. <br />$ _ .. <br />r -a <br />Total Postage and Fees <br />ru <br />Postmark <br />Here <br />$ Mr. Kent Rasmussen <br />.a Sent To <br />pC3 St�eefandApt. No., sr FDi3ozNo: 1772 Tipton Circle NW <br />Elk River, MN 55330 <br />----------------------- <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 mallpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Kent Rasmussen <br />11772 Tipton Circle NW <br />°'Elk River. MN 55330 <br />III�II�IIIII III�IIIIIIII�III' illll�l III <br />9590 9402 1603 5362 838144 <br />2. Article Number fTransfar from sarura /ahan <br />7016 2140 0001 1,474 1302' <br />PS Form 3811, July 2015 PSN 7530-02-000-9052' <br />T <br />f (. <br />B. Receivdd by (Printed Name) i C. Date of Dt <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: [3 No <br />3. Service Type <br />❑ Priority Mall Expm <br />❑ Adult Signature <br />❑ Registered MalITi" <br />❑ Adult Signature Restricted Delivery <br />❑ Registered Mall R <br />C]Certified Mall® <br />Dellvery <br />❑ Certified Mall Restricted Delivery <br />J[ Return Receipt fo. <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect an Delivery Restricted Delivery <br />❑ Signature Conflm <br />❑ Insured Mall <br />❑ Signature Conflm <br />❑ Insured Mail Restricted Delivery <br />Restricted Deliver <br />Domestic Return R <br />