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M1i 7601E <br /> COMPLErE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signre ❑Agent <br /> item 4 if Restricted Delivery is desired. X7 Addressee <br /> ■ Print your name and address on the reverse <br /> so that we can return the card to you. 3. Reo ' e ✓Tinted Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, oz �verry <br /> �� ,Z <br /> or on the front if space permits. <br /> D. I dress different from item 1? ❑Y s <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. LeRoy Bellmore <br /> North Weld Gravel, RLLP <br /> 13480 Weld County Road 100 3. Service Type <br /> Nunn, CO 80648-9700 ®Certified Mail® ❑Priority Mail Express- <br /> El Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2, Article Number(Transfer from service label) Q 14. ,2�; " 0 p p 1 7 B 71 1912 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />