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1 <br /> COMPLETE THIS SECTIONON DEUVERY <br /> SENDER COMPLETE THIS SECTION �I <br /> re <br /> ■ Complete items 1,2,and 3. A S' <br /> 13 Agent <br /> ■ Print your name and address on the reverse X � ddressee <br /> so that we can return the card to you. ei by rinte ame) l.,. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1 Article Addressed to: D. Is delivery address different from he 1? ❑Yes i <br /> It YES enter delivery address below [] No q <br /> Russell Larsen <br /> Everist Materials. LLC <br /> 556 Struthers Ave <br /> Grand Junction,CO 81501 <br /> II I�III'I I'II I'I I II I IIIII I II III II I I II II i II I III Signature*Adult Adult sign riI@ Restricted Delivery ❑Reg Delryysttered Mall Restricted <br /> 9590 9402 2053 6132 7861 13 certdied Mail Restricted Delivery 0 R eurn Receipt for <br /> 11 Collect on Delivery❑Collect on Delivery Restricted Delivery 0 Signature Confirmation TM { <br /> n.rl�io w rmher lrransfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 2826 Insured Mad Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Certified Mail service provides the following benefits: <br /> ■A receipt(this portion of Certified M'I for an electronic return receipt,see a retail <br /> ■A unique identifier for your l�{ee. a_ssoclate for assistance.To receive a duplicate <br /> ■Electronic verification of delivery or attempted return receipt for no additional fee,present this <br /> delivery. � �} �i Certified Mail receipt to the <br /> ■A record of delivery(Includin� rlti r 7 Late. <br /> Signature)that is retained by the Postal Service'" Restricted delivery service,which provides <br /> for a specified period,�,r� delivery to the addressee specified by name,or <br /> Important ftem/nderS:D v 3 "r to the addressee's authorized agent. <br /> ign <br /> ■You may purchase Certified Mail service with s signature service,which requires the <br /> Rrst Class Main Rrst Class Package Service® stance le beat least 21 years of age(not <br /> 9 available at retail). <br /> or Priority Maim service. Adult signature restricted delivery service,which <br /> ■Certified Mail service is notavailabie for requires the signee to be at least 21 years of age <br /> International mail. and provides delivery to the addressee specified <br /> ■Insurance coverage is notavailabie for purchase by name,or to the addressee's authorized agent <br /> with Certified Mall service.However,the purchase (not available at retaill. <br /> Of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is <br /> insurance coverage automatically included with accepted as legal proof of mailing,it should bear a <br /> certain Priodty Mail items. USPS postmark.h y01 would like a postmark on <br /> ■For an additional fee,and with a proper this certified Mail receipt,please present your <br /> endorsement on the mallpiece,you may request Certified Mail hem at a Post Office-for <br /> the following services: postmarking.if you don't need a postmark on this <br /> Retum receipt service,which provides a record Certified Mall receipt,detach the barcoded portion <br /> Of delivery(Including the recipient's signature). of this label,affix it to the mallpiece,apply <br /> You can requ a hard y return receipt or an appropriate postage,and deposit the mallpiece. <br /> electronicve j =QD7 Y2t3PlA IPtS t�OCir?s . ':a . �' tSU203 <br /> complete PS Form 3811,DomesdcRetum <br /> Receipt attach PS Form 3811 to your mailpiece; IMPORTAIM Sara this receipt for your records, <br /> PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 <br />