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C� M 2C&l <br />� C Mai I- PUB Le-f4t'- <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 />— 44yavi C►essier <br />Coal Bed Creek Construction, Inc. <br />03037 County Road 2 <br />Dove Creels, CO 81324 <br />A. Signature I <br />X n ❑ Agent <br />' 6, ❑ Addressee <br />B. Received by (Pr' ed 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 />JQ 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 7012 3460 0000 6385 0270 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />(Domestic CERTIFIED MAIL,. RECEIPT <br />Only; <br />ru <br />to Postage: $0.48 <br />rn Certified Fee: ANC 3.30 <br />E3 Return Receipt Fee:, 770 <br />E3 Reti 00 r1-7 <br />Q (Endorse Total Postage 8s Fe4-: $ 8 <br />Restnck <br />O <br />(Endorsement Required) <br />-I' Total Postage & Fees (1 <br />m <br />Sent To <br />ri David Cnessler <br />13 -- t7 W. - Coal Bed Creek Construction, Inc. <br />Street, Apt. No.; ------- - - - - -- <br />or PD Box No. 03037 County Road 2 <br />Dove Creek, CO 81324 <br />Crty, State, ZlP +4 ------- - - - --- <br />:rr rr. <br />