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ce-r-�411'e.0 M c ' L- C)cp � (:Ace_ <br />I�,eleGs� C_S <br />SECTION .. <br />■ Complete items 1, 2, and 3. Also complete A. Sig "a ure <br />item 4 if Restricted Delivery is desired. r ❑ Agent <br />■ Print your name and address on the reverse X ❑ Addre: <br />so that we can return the card to you. g, ed by (Ptinted Name) C. 4ate of Del' <br />■ Attach this card to the back of the mailpiece, L <br />or on the front if space permits. t�' t!J� <br />D. Is delivery address different from item 1? Yes <br />1. Article Addressed to: If YES, enter delivery address below: ❑ <br />Mr. Doug Dowling <br />Dorn Ready Mix <br />19674 Rd R 7 3. Service Type <br />Fort Morgan, CO 80701 ® Certified Man o Express Mau <br />❑ Registered C3 Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7012 3460 0000 6384 6457 <br />tr ans far from service IabeQ <br />PS Form 3811, February 2004 Domestic Return Receipt <br />Postal <br />CERTIFIED MAILT. RECEIPT <br />P- <br />(Domestic <br />J3 <br />FIT ITTIM <br />-- <br />Postage: <br />`o <br />Certified Fee: $0.90 <br />Return Receipt Fee: $3.30 <br />$2.70 <br />C3 <br />C3 <br />Reti Total Postage & Fees: <br />C3 <br />O <br />(Endorse <br />$6.90 <br />1-3 <br />Restricted Delivery Fee <br />(End orsement Required) <br />M <br />m <br />Total Postage & Fees <br />ru <br />rq <br />Sent To <br />--- -- -- - --t Mr. Doug Dowling <br />O <br />� <br />No.- -------------------- <br />Street, Apt. N. Dorn Read Mix <br />or PO Box No. y <br />City State, ZIP +4 19674 Rd R 7 ---------------- <br />:,, . Fort Morgan, CO 80701 <br />102595_�7 <br />