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9 <br />Ce r -11`e <br />A <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 />John Ary <br />Fremont Paving & Redi -Mix, Inc. <br />839 MacKenzie Avenue <br />P.O. Box 841 <br />Canon City, CO 81215 <br />A. <br />t h IkAgent <br />B. Re i(red <br />VYA <br />by (Pri ame) C. Date of Delivry <br />D. Is delivery ad event Item t? 1:1 Yes <br />If YES, entvery address be W; E3 No <br />w - 2 ?014 <br />3. Service Type <br />Ej Certified Mall <br />ULgP <br />=Press Mail <br />❑ Registered <br />❑ Insured Mail <br />JK Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted <br />z' Delivery? (Extra Fee) 71312 3460 poop 6385 4643 ❑Yes <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595.02 -M- 1540 '; <br />S <br />u7 <br />M Postage: <br />`° Certified Fee: <br />�•48 <br />C3 (Return Receipt Feeb ti� 30 <br />C3 (Endc J .70 <br />ResTOtal POsta ,ay`' <br />C3 (End( ge &Fees, <br />� `�,,r✓�q iy0��' 6.48 <br />Total Postage & Fees <br />rn John Ary <br />ru Fremont Paving & Redi -Mix, Inc. <br />0 839 MacKenzie Avenue <br />P.O. Box 841 --------------- - - - - -- <br />Canon City, CO 81215 <br />