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t� <br />(I-,. rH f`Ied Ma 1 1- 1�elo)cice.. <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 />1. Article Addressed to: <br />Mr. Gerald Korinek <br />Korinek Sand & Gravel <br />640 Lane 15 j <br />Manzanola, CO 81058 <br />A. Srgure <br />X ❑ Agent <br />J �4 ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />7 -(b-TO <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />I- Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(transfer from service label) 7 012 3460 0 0 0 0 63853912 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />rL I. r • �. <br />r-i <br />Er" <br />4 <br />M $0.48 <br />Postage: $3.30 <br />(Certified Fee: $2.70 <br />'Return Receipt Fee: <br />cTotal Postage &Fees: <br />c & k <br />`. <br />—.—u ueuvery Fee <br />(Endorsement Required) Q , <br />Total Postage & Fees $ <br />ti Sent To Mr. Gerald Korinek V` <br />-- - -- --- ---- <br />O ,ApLN <br />or POBox No. . Korinek Sand & Grave <br />or PO <br />City State, ZIP +) 640 Lane 15 - ------ - - - --- <br />Manzanola, CO 81058 <br />PS For. 3800, �101� See Reverse for instructions <br />