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Had <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete ignature <br /> item 4 if Restricted Delivery is desired. g t <br /> ■ Print your name and address on the reverse -see <br /> so that we can return the card to you. a. e' by(P' Name C. DBE o Delivery <br /> ■ Attach this card to the back of the mailpiece, �4 <br /> or on the front if space permits. !!! I 1 <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Joe Thomeczek <br /> Bent County Ready Mix <br /> P.O. Box 387 3. Service Type <br /> Las Animas, CO 81054 )KCertifiied Mail ❑Express Mail <br /> ❑Registered JA Return Receipt for Merchandise <br /> ❑Insured Mall ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Artu(Tral 7011 3500 0002 9607 6124 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> Postal <br /> (DomesticCERTIFIED MAILT. RECEIPT <br /> Only; <br /> ru <br /> a Postage: $0.69 <br /> Q- Certified Fee: $3.30 <br /> ru Return Receipt Fee: $2.70 <br /> 0 <br /> 0 <br /> Total Postage & Fees: <br /> ED -' <br /> 0 <br /> U'l Total Postage&Fees <br /> m <br /> Joe Thomeczek <br /> o Bent County Ready Mix----------=`"-fay------- <br /> r` P.O. Box 387 <br /> -------------------------------- <br /> Las Animas, CO 81054 <br />