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M _199-1 - C, i I <br />CCf-+j,fie6 Mal'j- -Re-pi LOCI <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 />Mr. Fred J. Orr <br />Baculite Mesa, LLC <br />040 Acoma Street' <br />Denver, CO 80216 <br />2. Article Number <br />(transfer from service label) <br />PS Form 3811, February 2004 <br />A. ' ature I <br />t $0 Agent <br />X ❑ Addre <br />Rece ed by t(P' e) JC.Date of I , <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />is Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7012 3460 0000 6384 5320 <br />Domestic Return Receipt <br />F . Postal Service TM <br />RTIFIED MAILTM RECEIPT <br />mestic Mail only; No Insurance Coverage Provided) <br />elivery information visit our website at www.usps.com® <br />Ln <br />1 <br />M Certified Fee: <br />-D Return Receipt Fee: $2.55 <br />O <br />C3 R $6.31 <br />O (Endor Total Postage & Fees: <br />C1 <br />Rests <br />C3(Endors..,,,— ,. ­4­..) <br />..0 <br />:2" Total Postage & Fees <br />M <br />ti LTo Mr. Fred J. Orr <br />--- --- --- -- -- <br />Baculite Mesa, LLC 5040 Acom a Street --------------------- <br />Denver, CO 80216 <br />102595 -02 -M -1540 <br />