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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. bi]-Agent <br /> ■ Print your name and address on the reverse ❑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 add Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: No <br /> DEC 102, 018 <br /> Laurine Koellner <br /> L & L Ready Mix v� E 4F RECtp <br /> P.O. Box 218 3. Service Type <br /> ❑Certified Mail® ❑Priority Mail Express- <br /> Haxtun, CO 80731 ❑ Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail El Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (transfer from servi 7 014 2120 0001 8040 1481 <br /> 4 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />