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M 2oc I - 0152- <br />&r- �i �ie-3 M 0-1 <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 />McCormick Excavation & Paving <br />c/o Jim -McCormick <br />30887 TS Pwy 24 <br />Stratton; CO 80836 <br />A. Signature , <br />❑Agent <br />X Z ❑ Addressee <br />B. Recei d by (Printed Name) C. _Date of QaUvery <br />g- 2—s <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se ice T <br />ype <br />21(cemed 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 7012 3460 0000 6385 4353 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02 -M -1540 <br />Postal <br />RECEIPT CERTIFIED MAIL. <br />M <br />Ln <br />(Domestic Mail • nly; No Insurance Coverage <br />Provid <br />M <br />`n <br />Wa7rr1I 7W1 <br />Postage: <br />$0.48 <br />`c <br />ertified Fee: <br />$3. 30 <br />30 <br />M <br />Return Receipt Fee: <br />$2 <br />C3 <br />Total Postage & Fees: <br />k <br />$6.48 <br />C3 <br />0 <br />(Er <br />Restrlcted Delivery Fee <br />(Endorsement Reqwred) <br />O <br />Total Postage &Fees <br />M <br />Se, McCormick Excavation <br />& Paving, LLC <br />ru <br />0 <br />oar c/o Jim McCormick <br />C, 30887 US Hwy 24 <br />Stratton, CO 80836 <br />102595.02 -M -1540 <br />