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X12((6- -0` -. <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 />Shad Peabody <br />Skranska USA Civil West Rock}- Mountain District <br />22419 Countv Road G <br />McLd <br />A. Signature <br />X <br />❑ Agent <br />❑ Addressee <br />B. R@ceI v d by (Printed Name) <br />C. Date of Delivery <br />D. Is delivery address <br />erent from ' em 1? ❑ Yes <br />If YES, enter deliv�rry <br />addressor: ❑ No <br />n <br />RECEIPT <br />(Domestic <br />P.O. Box 1660 3. Se ice ype <br />Cortez. CO 81321 T <br />Certifled Mall ❑ Express Mall <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 70112 3460 0000 6385 4292 <br />(transfer from service label) _ <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />tv <br />Q' <br />nj <br />Ln <br />Co <br />M <br />I <br />U.S. <br />Postal <br />Service,. <br />CERTIFIED <br />MAIL. <br />RECEIPT <br />(Domestic <br />Mail <br />Only; <br />No Insurance <br />Coverage <br />Provided) <br />For delivery <br />information <br />visit our <br />website <br />at www.usps.come <br />Postage: <br />R1 Certified Fee: <br />(Endor: Return Receipt Fee: <br />Rests( <br />(Endors &Fees• <br />$0.48 <br />2.70 <br />-91 . <br />o Total Postage $6.48 <br />? Total Fvstage & Fees <br />M <br />Sent To <br />ru Shad Peabody <br />a $rieei,APCivo.;" Skranska USA Civil West Rock• Mountain Dist <br />0 or PO Box No. <br />City State, ziP +a 22419 County Road G <br />P.O. Box 1660 <br />" ' Cortez, CO 81321 <br />