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• 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 />A,; 8 1 1 hatu, <br />❑ Agent <br />x ❑ Addressee <br />B. Received by (Printed Namev <br />C. Date of Delivery <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 />D. Is delivery address different from item 1? ❑Yes <br />If YES, enter delivery address below: ❑ No <br />1. Article Addressed to: <br />Terry Raney or <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 3. Service Type <br />Of Certified Mail ❑ Express Mail <br />-- - O Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rransfer from service label) <br />PS Form 3811, February 2004 <br />7012 3460 0000 6384 6976 <br />Domestic Return Receipt 102595 -02 -M -1540 <br />-0 <br />r% <br />IIIIIIII110=9WO <br />C <br />-D <br />Postage: <br />$0 <br />a <br />Certified Fee: <br />$x.30 30 <br />E3 <br />Rf Return Receipt Fee: <br />rL 70 <br />C3 <br />E <br />(Endor; rr <br />Restm '; \�� <br />(Endor, Total Postage & Fees: <br />$6.90 <br />/ <br />M <br />M <br />� <br />Total Postage & Fees I l <br />- <br />m <br />rq <br />Terry Raney or <br />Anthony "Marshall' Miller <br />------ <br />r`- Lafarge West, Inc. c/o Lafarge North America Inc <br />8700 W. Bryn Mawr Ave., Ste. 300 <br />Chicago, IL 60631 - .-..r- = - <br />