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Certified Mail Receipts 2 © 2 <br /> SENDER: coMPLETE THIS SECTION COMPLETE■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailpiece, B. R eived b (Printed N C. Date of Delivery <br /> or on the front if space permits. _I'1` <br /> 1. Article Addressed to: D. Is delivery ad ss different fr item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Russell A Larsen <br /> Elam Construction, Inc. <br /> 556 Struthers Ave 3. Service Type <br /> Grand Junction, CO 81501 ❑Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑Collect on Delivery <br /> 2. Article Number 4. Restricted Delivery?(Extra Fee) ElYes <br /> (transfer from service label) 7 014 2120 0001 7871 2186 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> Postal <br /> CERTIFIED oRECEIPT <br /> .n Domestic Mail Only <br /> to <br /> ru 7 <br /> Postage: <br /> r- <br /> � <br /> Certified Fee: <br /> Return Receipt Fee: <br /> l< <br /> C3 (E <br /> o Total POSta Resmae� g <br /> (Endorsement Required)e& Fees: <br /> E3ru <br /> r.=1 Total Postage&Fees <br /> ru <br /> Sent To Mr. Russell A Larsen <br /> rq o stree�a;api.-nia Elam Construction, nc. <br /> ----------- <br /> °`Po Box No. <br /> 556 Struthers Ave <br /> City,state,ZIP+ <br /> Grand Junction, CO 81501 <br />