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?�' " I *Fj - I I ? <br />r /'1PPrr-wC1j <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 />Don Loloff <br />Loloff Construction, Inc. <br />P.O. Box 518, 206 Hill St.' <br />Kersey, CO 80644 <br />A. <br />rB .geceived by.f P1 nigd�1',! C. Dal '* Nlivery <br />D. Is delivery address different from item 1? ❑ Yes ! <br />If YES, enter delivery address below: �KN. <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 011, 3500 0 0 0 2 9607 6 4 21 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />(Domestic Mail C <br />C3 I ' Postage; <br />E° Certified Fee: $0.48 <br />Er ru Return Receipt Fee: $3.30 <br />C3 Retur $2.70 <br />C3 (EndorseaTotal Posta <br />Restricted �..._., ge & Fees: <br />O {, (Endorsement Required) k " 06.48 <br />C3 <br />"I Total Postage & Fees $ <br />M <br />ra Sent To Don Loloff <br />---------------------- <br />O Street, Apt. No.; <br />Loloff Construction Inc. ------- <br />orP ---- -- P.O. Box 518 206 Hill St. <br />City State,-ZrP +4 Kersey, CO 80644 <br />:ri 1i. <br />