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1 Cep -�� fle c� me d - SU <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 />A. Signature <br />Release <br />❑ Agent <br />B. R€ceiv (Print aryl C. Date of Delivery <br />D. Is delivery giddress different frA item 1? `El Yes <br />If YES, enter delivery address below: ❑ No <br />Terry Raney or J� <br />Anthony "Marshall" Miller <br />Lafarge West, Inc. c/o Lafarge North America Inc. <br />8700 W. Bryn Mawr Ave., Ste. 300 Type <br />Chicago, IL 60631 46 Certified Mail ❑ Express Mail <br />❑ Registered O Return Receipt for Merchandise <br />0 Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service labeo 7 010 1060 0001 0 9 3 6 5777 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />QATESTOCR <br />Postal <br />CERTIFIED MAIL,r.I'RECEIPT <br />f- <br />M1 <br />Do <br />•. <br />. . Provided) <br />77 <br />M <br />° <br />C3 <br />P osta 9e: <br />Certified <br />� aSAi7n_ <br />,a <br />F <br />Fee <br />Retur <br />n Receipt Fee.E <br />.o <br />' ;$2.70 <br />° <br />l <br />Total P ostage <br />? ti� z 1 <br />° <br />C <br />8, <br />t Fees: <br />' ! <br />° <br />Total Postage & Fees I <br />rl <br />Terry Raney or <br />C3 <br />c3 <br />Anthony "Marshall" Miller <br />Lafarge West, Inc. c/o Lafarge North America Inc..__ <br />8700 W. Bryn Mawr Ave., Ste. 300 ________ _______________ <br />Chicago, IL 60631 <br />S00 Heve-e fol Instructions <br />QATESTOCR <br />