Laserfiche WebLink
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 />Article Addressed to: <br />astle Concrete <br />O Box 2379 <br />:o Spgs, CO 80901 t <br />A. Sig /° I ■ Complete items 1, 2, and 3. Also complete <br />❑ Agent item 4 if Restricted Delivery is desired. <br />c` l ❑ Addressee ■ Print your name and address on the reverse <br />B. Received by (Printed Name) C. R#k of Delivery 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 1. Article Addressed to: <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 />Donald Gay <br />1000 Fremont Cnty Rd. 108 <br />'Florence, CO 81226 <br />A. Si�re X ❑ Agent <br />❑ Addresse <br />B. Received by (Printed Name) C�. P to f Peliver <br />D. Is delivery address different from item 1? I Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />• Certified Mail ❑ Express Mail <br />• Registered ❑ Return Receipt for Merchandis <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Article Number- 2. Article Number <br />(Transfer from service label) (Transfer from service label) <br />Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540' PS Form 3811, February 2004 Domestic Return Receipt 102595- 02 -M -15, <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 />Article Addressed to: <br />A. Sign tyf / /' ! ■ Complete items 1, 2, and 3. Also complete <br />X ! /` ❑ Agent item 4 if Restricted Delivery is desired. <br />AddresseE ■ Print your name and address on the reverse <br />nt by Print N e) C. Date of Delivery so that we can return the card to you. <br />I ,'! �l ■ Attach this card to the back of the mailpiece, <br />ih "` or on the front if space permits. <br />D. Is delivery address differ ' from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No 1. Article Addressed to: <br />X <br />B eceived by ( Printed Name) C. r gel' er <br />D. is delivery address different from item 1? YesJ-f►' <br />If YES, enter delivery address below: ❑ No <br />iolcim Inc. <br />11 <br />James Grisenti <br />\ttn: Tax Dept <br />?01 Jones Rd. <br />a <br />""t' r <br />3. Service Type <br />14662 N. State HWY 115 <br />Florence, CO 81226 <br />„ <br />3. <br />Service Type <br />Waltham MA 02451 <br />11 Certified Mail 11 Express Mail <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />4. <br />Restricted Delivery? (Extra Fee) ❑ Yes <br />Article Number <br />2. Article Number <br />(Transfer from service label) <br />(Transfer from service label) <br />11 - - -oo -1 .4 - -'- -- ,--I <br />