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tab \-1 <br />i1,11 :?() i �) -' () is <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 cans to you. <br />• Attach this card to the back of the maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Tyler E. Kimzey <br />Pine Bluffs Gravel & Excavating, Inc <br />215 Main Street <br />P.O. Box 609 <br />Pine Bluffs, WY 82042 <br />A. <br />rV1 5 Co ors e ro-- <br />Agent <br />eiWd by (Printed Name) C. Late of Delivery _ <br />D. Is delivery address different from *m 1? ❑ Yes <br />If YES, enter delivery address below: (900 <br />3. Service Type <br />O Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mali ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7011 3500 0002 9607 6476 <br />(Transfer from service label) _ <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />(Domestic <br />-n <br />For delivery information visit our website <br />at www.usps.corne <br />E3 <br />postage: <br />\ L�ZOS <br />Ir <br />Certified Fee: <br />$ <br />nu <br />Return Receip t Fee: <br />0 <br />C3 <br />M <br />(Er <br />postage & Fees: <br />$7.1 r? t <br />r3 <br />R,Total <br />(En - -�, <br />a ✓,t }fr <br />C3 <br />Lr1 <br />Total Postage & Fees $ <br />Tyler E. Kimzey <br />Sent To <br />Pine Bluffs Gravel & Excavating, Inc. <br />C3 <br />r. <br />Street, Apt. No 215 Main Street <br />or PO Box No. <br />City State, ziF P.O. Box 609 <br />Pine Bluffs, WY <br />:r NNOMMUMPNEEmp- <br />82042 <br />102595 -02 -M -1540 <br />