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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. Leroy A. Bellmore <br />North Weld Gravel <br />13480 WCR 100 <br />Nunn, CO 80648-9700 <br />COMPLETE THIS SECTION ON .DELIVERY <br />A. Signature <br />X ,Jam'ttc-` -C <br />c'�i <br />8� Reded b/(Pnnteq' Name) C. Date of Delivery <br />-/ I. L4itiLk-/',[/Y/�s — <br />D. Is rdelWj address different front item 1? ,u Yes <br />If YES, enter delivery address below: <br />❑ Agent <br />❑ Addressee <br />0 No <br />3. Service Type <br />❑ Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express'" <br />❑ Return Receipt for Merchandise <br />❑ Collect On Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 0150 0000 9138 911Q <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />