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ALBERT FREI AND SON5, INC <br />PERMIT # M- 2014 -043 <br />November 4, 2014 <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 />South Adams County Water, <br />and Sanitation District <br />HATCHERY PIT <br />PROOF OF DELIVERY - ADJOINING OWNERS <br />A. jeture <br />X ❑ Agent <br />❑ Addressee <br />B. Received b Printed e) C. D e o Del' ery <br />3 <br />D. Is delivery address different from Item 17 A4 Yes <br />If YES, enter delivery address below: ❑ No <br />F6 -&-� S''7 w.a <br />Cc�mr 4G <br />6595 E. 70th Ave. 3. Sfvlcelype v <br />Commerce City, CO 80022 m Certified Mail E3 Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 011 1570 0002 15 21 07.64 <br />(transfer from service laben <br />I PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />7 <br />