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Aa /471ys <br />M :?,� 1Z— O0 7 <br />Postal <br />(Domestic CERTIFIED MAIL. RECEIPT <br />Er <br />No Insurance Coverage Provided) <br />ro , • i <br />M <br />Er Postage $ r <br />0 <br />Certified Fee a y <br />rq Postmark <br />Ct Return Receipt Fee Here <br />CI (Endorsement Required) <br />O <br />Restricted Delivery Fee <br />C:j (Endorsement Required) <br />C3 Total Postage & Fees <br />r-9 <br />Lo Thomas O'Rourke Q O'Rourke Excavating, Inc. <br />Iti 2489 C R 15 <br />South Fork, CO 81154 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <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 />Thomas O'Rourke <br />O'Rourke Excavating, Inc. <br />2489 C R 15 i <br />South Fork, CO 81154 <br />2. Article Number <br />(transfer from service label <br />PS Form 3811, February 2004 <br />X Signature zz-- <br />❑ Agent <br />by (PRAeAame) C. Date of Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below ",r. No <br />3. 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 />7010 10b11" Obol, 0936 8969 <br />~ Domestic Return Receipt <br />102595 -02 -M -1540 <br />