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/C <br />P\Ocl <br />I` I Iq--n l�)l <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. Gerald Korinek <br />Korinek Sand & Gravel <br />640 Lane 15 <br />Manzanola, CO 81058 <br />LUC <br />1. i1CreCk,,�e- <br />A. Signatyre <br />car _ e ❑ Agent <br />X / .G'� ❑ Addressee <br />B. eceive by tinted Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />aSCertified 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 7012 3460 0000 6385 0799 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Q (Domestic <br />tr <br />0 For delivery information visit our viebsite at www.usps.come <br />In <br />CO <br />M Postage $ <br />.A <br />O Certified Fee <br />C3 Return Return Receipt Fee <br />C3 (Endorsement Required) 0 Here <br />O <br />Restricted Delivery Fee <br />C3 (Endorsement Required) <br />—0 <br />= Total Postage & Fees $ <br />M <br />I'Ll Sent To Mr. Gerald Korinek <br />0 Sliest, Apt IVo.; Korinek Sand & Gravel <br />� or PO Box No. <br />City, State, ZIP+ 640 Lane 15 -------- - - - - -- <br />Manzanola, CO 81058 <br />- "ev—e—rse Tor instructions <br />