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/�Jlk) (�j -2co3- 003 <br />Orr cer+iTlec) MGi L - ►�T13 <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 />Joe Kozimor <br />Consolidated Constructors <br />P O Box 629 <br />Farmington, NM 87499 <br />A. Signature <br />.Agent <br />B R eived ted Nary e) ► C. Diate of Delivery <br />D. Is ddre re t from item 1? ❑ Yes <br />If enter d c, ss below: ❑ No <br />3. ESOce Type <br />Certified Mall ❑ Express Mall <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7012 3-4-60-0000 6384 5023 <br />(transfer from service labeq _ <br />PS Form 3811, February 2004 Domestic Return Receipt <br />M <br />(Domestic <br />ru <br />0 <br />For delivery Information visit our website at www.usps.come <br />Ln <br />Co <br />Postage: <br />$0.46 <br />M <br />Certified Fee: <br />$3.10 <br />c Return Receipt Fee: <br />$2.55 <br />C3 <br />O <br />C3 <br />Return <br />(Endorseme Total Postage & Fees: <br />$6.11 <br />O <br />Restricted , <br />C3 <br />(Endorsement ttequirea) <br />`° <br />JQn 3, �cY� <br />-r <br />Total Postage &Fees <br />$ <br />M <br />m_ <br />nJ <br />Sent To Joe Kozimor <br />Consolidated Constructors <br />----------------------- <br />C3 <br />Street, Apt. No., P.O. Box 629 <br />� <br />or PO Box No. Farmington, NM 87499 <br />- - ------ -- -- ---- ------ <br />----------------------- <br />Citv, State, ZIP +4 <br />102595 -02 -M -1540 <br />