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CC_ 14 if 11 <br />P111�I <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. Vernon Dilley <br />Dilleys Sand& Gravel <br />1914 Edmunds Street <br />P O Box 125 <br />Brush, CO 80723 <br />A. <br />Received by <br />Tiro r. <br />R <br />❑ Agent <br />❑ Addre <br />C. Date of Deli <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />I6 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 70_12 3460 0_0_006385 0096 <br />(transfer from service label) __ <br />- - - - -- - - - - -- -- --- -- - -- - - - -- -- - - - - -- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />(Domestic CERTIFIED MAILT,, RECEIPT <br />Er <br />C3 <br />SikTiOA, <br />CID Postage : <br />Certified Fee: °t69 <br />ce Return Receipt Fee: 4', H 1 d 2014 l0_ <br />0 <br />r3 Return R Q <br />C3 ( Endorsemen Total PQSta ' <br />Restricted D ge & Fees. <br />r3 (Endorsement Regwreo) 8027713"q 16.69 <br />..0 <br />—r Total Postage & Fees <br />M <br />ru Sent To Mr. Vernon Dilley <br />0 Stieet,Apt.Nc Dilleys Sand& Gravel <br />------------------------- <br />tt or PO Box No. 1914 Edmunds Street <br />City State, ZiF P O Box 125 <br />Brush, CO 80723 <br />