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M 2a3:K-vi�S <br />5� <br />(,'e i �'t8 Mai I -So <br />II el eG,Se <br />• Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted'Delivery is desired, Cl Agent <br />• Print your name and address on the reverse <br />so that we can reign the card to you. ❑ Addressee <br />• Attach this card to the back of the mailpiece, B Re ive ftP1, Name) C. Date of Delivery <br />or on the front if space permits. r <br />I. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br />-- If YES, enter delivery address below: ❑ No <br />Mr. John Ary <br />Hard Rock Paving and Redi -Mix, Inc. <br />Canon City, CO 81215 3. Service Type <br />- — - - -- C Certified Mail 0 Express Mail <br />Cl Registered C] Return Receipt for Merchandise <br />CI Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7012 3460 0000 6384 6846 <br />Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />Postal <br />CERTIFIED MAILT,., <br />_(Domestic Mail Only, <br />RECEIPT <br />CO <br />Co <br />M <br />`0 <br />e <br />Postage: <br />' <br />e,,$()•90 <br />c3 <br />Certified Fee: <br />0 <br />�0 <br />E3 <br />( Return Receipt Fee: <br />,ark <br />e <br />0 <br />c3 <br />a <br />( Total Postage & Fees: <br />",g0 <br />� <br />M <br />iota, roscage & rees I <br />_ ✓-� <br />,ru <br />Se' <br />Mr. John Ary <br />or`rP Hard Rock Paving and Redi -Mix, Inc. <br />�ty P.O. Box 841 <br />Canon City, CO <br />81215 <br />