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Certified Mail Receipts <br /> ✓ f^ J �V <br /> SENDER: CC) <br /> JWPLETE THIS SECTION <br /> V <br /> DELIVERy <br /> ■ Complete items 1,2,and 3. <br /> ■ Print your name and address on the reverse A Signature <br /> So that we can return the card to you. X ❑Agent <br /> ■ Attach this card to the back of the mailpiece, B. R iv by nted N 11 Addressee <br /> or on the front if space permits. C. Date f Delivery <br /> 1. Article Addressed to: f�G �v <br /> D. Is delivery address different from item. L7 Yes <br /> If YES,enter delivery address below: ❑No <br /> Mr. Mark Johnson <br /> Bestway Concrete Company <br /> 301 Centennial Drive <br /> Milliken, CO 80543 <br /> II I�III�I I'II I�IIIIIIII IIII III IIIII 11111111111 3. Service Type <br /> ❑Adult Signature ❑Priority Mail Express® <br /> ❑Adult Signature Restricted Delivery 11 RRegistered Mail R <br /> 9590 9402 2543 6306 1364 07 E Certified Mari® Registered d Mail Restricted <br /> ❑Certified Mail Restricted Der, Delivery <br /> 2. Artirla Nt tmtuar?ranefar from cAroira/ahnA El Collect on Delivery very ❑Return <br /> Receipt for <br /> 7 216 214 O 0000 2 3 4 5 7 615 Collect on ndise <br /> Delivery Restricted Delivery ❑Signature Confirmation*M <br /> ❑Insured Mail El Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> PS Form 3811,July2015 PSN 7530-02-000-9053 (over$500) <br /> Domestic Return Receipt <br /> Postal <br /> CERTIFIED o RECEIPT <br /> Ln Domestic Mail Only <br /> r-9 <br /> For delivery information,visit our website at www.uspsxorn . <br /> .0 <br /> r%- <br /> Ln <br /> -r Certified Mall Fee' <br /> m ,�NCF S3 .670 <br /> ru <br /> Extra <br /> ❑Rewmrry c postage % $3.350 <br /> E3 4k- $ <br /> C3 o M� Certified Fee. 2.750 <br /> Receipt Fee' �o r - <br /> 0 0 Return �6 770 <br /> of Postage$ ostage&Fee j <br /> tiPoscesear_Total P <br /> $ Mr. Mark Johnson <br /> .� SeMTo <br /> Bestway Concrete Company __ <br /> o Saeeieni/Api7�6.;oF�t 301 Centennial Drive <br /> N <br /> �iiy'34a}e;�IF4d�------ Milliken, CO 80543 .-' <br />