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ZOC;4 -- <br />cer-+1'fle8 MC&I'l- iSo <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 mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Jim Gochis <br />Alpine Demolition, Inc. <br />5791 West 56th Ave Unit C <br />Arvada, CO 80003 <br />A. Signature <br />�+ <br />X ❑ Agent <br />— ,�ya,.,+ r-+ ❑Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Gd 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 <br />(transfer from service labeo ?011 3500 0 0 0 2 960? 6 9 5 7 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />[� <br />C3 x <br />Er Postage $ L FHere ru Certified Fee 0 Retum Receipt Fee i C3 (Endorsement Required) / -7f✓ <br />CI <br />Restricted Delivery Fee <br />(Endorsement Required) <br />C3 <br />mTotal Postage & Fees <br />r-9 <br />Sent'. <br />r-3 Jim Gochis <br />C3 Streel <br />(L or PO Alpine <br />Demolition, Inc. <br />%ry 5791 West 56th Ave Unit C --------------- - - -- <br />Arvada, CO 80003 <br />U.S. <br />Postal <br />ServiOeTM <br />,, <br />CERTIFIED <br />MAILTM RECEIPT <br />(Domestic <br />Mail <br />OW Y; <br />No Insurance <br />Coverage Provided) <br />For delivery <br />information <br />visit our website <br />at www . —. <br />[� <br />C3 x <br />Er Postage $ L FHere ru Certified Fee 0 Retum Receipt Fee i C3 (Endorsement Required) / -7f✓ <br />CI <br />Restricted Delivery Fee <br />(Endorsement Required) <br />C3 <br />mTotal Postage & Fees <br />r-9 <br />Sent'. <br />r-3 Jim Gochis <br />C3 Streel <br />(L or PO Alpine <br />Demolition, Inc. <br />%ry 5791 West 56th Ave Unit C --------------- - - -- <br />Arvada, CO 80003 <br />