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ERR Certified Mail Receipts M-2015-030 <br /> Permit <br /> U.S. Postal Service'" <br /> CERTIFIED MAILD RECEIPT <br /> r*,- Domestic <br /> m <br /> m For delivery information,visit our website at www.0 <br /> '� b> n t ,@ <br /> C3 '� <br /> a Postage: Co 465 <br /> Certified Fee: �`�' 0 <br /> r� <br /> [3 Return Return Receipt Fee Z % $2. <br /> O (Endorseme 0 6' <br /> la Restricted I <br /> (Endorseme Total Postage & Fees: , G$6.465 <br /> C3 <br /> r1J <br /> r q Total Postage&Fees <br /> ru <br /> Sent To <br /> ------- - ----- <br /> Mr. Dan Hunt <br /> la or PO Box PNo. Asphalt Specialties Co., Inc. <br /> 10100 Dallas St. <br /> oty,State.Z�F --------- <br /> Henderson, CO 80640 <br /> SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Recei ed by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, 1/7�/ <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 /> Mr. Dan Hunt <br /> Asphalt Specialties Co., Inc. <br /> 10100 Dallas St. 3. Service Type <br /> Henderson, CO 80640 Al 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 <br /> (Transfer from service label) 7 014 2120 0001 8040 1337 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />