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12 � <br />\� iVv <br />M Ic1cl I- 133 <br />-Red M cc d -- Sc) Approve- <br />Complete items 1, 2, and 3. Also complete <br />A. Signature <br />item 4 if Restricted Delivery is desired. <br />CERTIFIED MAIL-r. RECEIPT <br />Agent <br />■ Print your name and address on the reverse <br />��' • s E� �� <br />13 Addressee <br />s that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />B. Received by (.Prirled N e) <br />C Date of Delivery <br />or on the front if space permits. <br />(� ' L� Y ( J\ r)'� <br />1. Article Addressed to: <br />D. Is delivery add m item 11 Ej Yes <br />If YES, ent ' ow: ❑ No <br />1 <br />CID <br />Randy Robins <br />$ <br />L� <br />Robins Construction, LLLP <br />Certified Fee <br />'rr73r <br />P O Box 212 <br />L 4 <br />� <br />O <br />3. service e <br />�Certilli <br />Antonito, CO 81120 <br />all <br />C3 <br />Restricted Delivery Fee <br />0 Registered "Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />p Yes <br />2. Article ansferuom 7012 3468 <br />(Transfer from service label) ___ <br />0000 6385 4735 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />QATESTOCR <br />Postal <br />CERTIFIED MAIL-r. RECEIPT <br />Lr1 <br />Only; <br />M <br />CID <br />Postage <br />$ <br />L� <br />Certified Fee <br />'rr73r <br />L 4 <br />� <br />O <br />Return Receipt Fee <br />(Endorsement Required) <br />2,, %� <br />Here <br />C3 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />C3 <br />cC <br />_r <br />Total Postage & Fees <br />M <br />Sent To <br />ti <br />Randy Robins <br />r l <br />C3 <br />Street, ApElu <br />or PO Box N( 7Antonito, Robins Construction, <br />-------------------- <br />LLLP <br />City State, Z, <br />P O Box 212 <br />--------- - - - - -- <br />CO 81120 <br />QATESTOCR <br />