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077-LL3 <br />SENDER: COMPLETE THIS SECTION <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 Roger P. Simones <br />Northwest Aggregates Inc. <br />2930 E. US Hwy 40 <br />Craig, CO 81625 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signat <br />X <br />0 Agent <br />111:'d'/;;.-- <br />- <br />me) C. Date of De i - <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />® Certified Mall® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express- <br />❑ Return Receipt for Merchandise <br />0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label <br />7014 2120 0001 7871 1684 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />