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�btA <br />M I X90 ci's <br />• Complete items 1, 2, and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <br />• Print your name and address on the reverse <br />so that we can return the card to you. g, <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. Mark Martin <br />Asphalt Paving Company <br />14802 W 44th Ave <br />Golden, CO 80403 <br />'So <br />Redeasc- <br />,ZI Agent <br />by (Rdr4fed Name) t I C. <br />L <br />D. Is delivery address different from 1? ❑ "e: <br />If YES, enter delivery address below: o <br />3. Service Type <br />M Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) p Yes <br />2. Article Number 7012 3460 0000 6384 6723 <br />(Transfer from service fabeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />M. <br />UtK I ll-ItU MAILTM REGEIF <br />(Domestic Mall Only; No Insurance Covera! <br />For delivery Information visit our website at = <br />=- I t <br />cc <br />M <br />`n Postage: Certified Fee: $1.61 <br />C3 Return Receipt Fee: <br />C3 4�►�Ck STq :70ark <br />i <br />0 <br />C3 t Total Postage & Fe 4,0p 1 <br />C3 $7.61 <br />Total Postage & Fees I $ <br />M <br />ru Sent To <br />Mr. Mark N6tin <br />C3 or Box No. . ,Apt.N Asphalt Paving Company ------ - - - - -- <br />�. or PO <br />City State, ZlP+ 14802 W 44th Ave ------------- <br />,,, ,_.Golden, CO 80403 - <br />