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r`A --L () l Z - Ua-7 <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 maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Thomas O'Rourke <br />O'Rourke Excavating, Inc. <br />2489 C R 15 <br />South Fork, O 81154 <br />A. Signature <br />Agent <br />Xy " 1 ❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />- -1 L ) - t Ai- <br />D. Is delivery ad s i erentvfrom item 1? ❑ Yes <br />If YES, e ndelidd elow: zi -vo <br />3. Service Type --! 'w/ <br />Certified MaiL® ❑ )ri fiity 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 <br />(Transfer from service label) 7 014 0150 0000 913 8 6447 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />(Domestic Mail G <br />For delivery inform: <br />m `_ _ Cle STArj <br />a Postage: P�' 0.69 <br />E' Certified Fee: r $3.30 <br />o Return Receipt Fee: 2.70 <br />I] (En, <br />c3 Res, Total Postage & Fees: '$6.69 <br />(Endc <br />rLn -7 Total Postage & Fees 5 <br />O -- - -- <br />Sent To Mr. Thomas O'Rourke <br />---- - - - - -- <br />� "S`freOBox IV. O'Rourke Excavating, Inc. <br />or PO Box No. <br />r` ciry "sieie,Z %P +4 2489 CR 15 - "- - " " " "" <br />South Fork, CO 81154 ARNMI MR <br />