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k. 41 <br />�') " 'P /) jr) -S <br />• Complete items 1, 2, and 3. Also complete A. Signature `5 -• G <br />item 4 if Restricted Delivery is desired. ❑ Agent <br />• Print your name and address on the reverse X ; ❑ Addressee <br />so that we Can return the card to you. B. Received by'( Prinied Name) C. Date of Delivery <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />D. Is delivery address different from item 1? 11 Yes <br />(/ <br />1. Article Addressed to: If YES, enter delivery address below: ❑ No <br />Anthony Blassi <br />A. Blassi & Son Trucking & Earthmoving, Inc. <br />38043 CR 32.4 <br />Trinidad, CO 81082 Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article asferumm 7010 1060 0001 0936 1380 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />