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OF COLORADO <br />.clamation, Mining and Safety <br /> I Natural Resources <br /> n Street, Room 215 <br /> rado 80203-2273 <br /> ALL-RITE PAVING & REDI-MIX. INC. <br /> Jodi Ricker <br /> P.O. Box 165 <br /> Canon City, CO 81215 <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS <br /> . <br /> ■ Complete Items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> verse <br /> ■ Print your name and address on the re ❑Addressee <br /> so that we can return the Card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> ALL-RITE PAVING&REDI-MIX. INC. <br /> Jodi Ricker <br /> P O Box 165 <br /> Canon City,CO 81215 3. Service Type <br /> ❑Certified Mail" ❑Priority 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 7 014 2120 0001 8040 2075 <br /> (transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> U.S. Postal Service" <br /> CERTIFIED MAILO RECEIPT <br /> un to Domestic Only <br /> E3 C3 or delivery information,visit our website at www.usps.com <br /> ru ru A <br /> O O Postage $ <br /> co co <br /> -� Certified Fee <br /> rl ra Postmark <br /> O ED Return Receipt Fee Here <br /> ® ED Q (Endorsement Required) <br /> r ED 0 <br /> Restricted Delivery Fee <br /> ED O (Endorsement Required) <br /> ru rlr <br /> r-9 r-q Total Postage&Fees <br /> r1J ru <br /> Sent To <br /> ra r� --------- ALL-RITE PAVING&REDI MIX. INC. •------------- <br /> -� C3 Street 6 Apt.No., <br /> or PO Box No. Jodi Ricker <br /> � city sure,-ziPta <br /> P.O. Box 165 <br /> Canon City,CO 81215 <br /> Pq . .. r <br />