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COMPLETE •N COPIPLETE THIS SECTI0A'0NDELIVERY <br /> ■ Complete items 1,2,and 3. A. ig ture <br /> ■ Print your name and address on the reverse X ElAgent <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailpiece, Receive Yov(Prigfed N e) C. Date of eli <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is livery address di from item 1? ❑Yes <br /> 0�y If YES,enter delivery�LIJIVY E6 No <br /> MR RUSSELL A LARSEN <br /> GRAND JUNCTION CONCReTE IPE CO. MAR <br /> 556 STRUTHERS AVE. <br /> 'GRAND JUNCTION, CO 81501 DMSION <br /> I I I III I'll III I I I I I 111 III I I II IIII(III 3. Service Type Dty^P�jj$�I Express® <br /> ❑Adult Signature ❑Reg IMal <br /> Ex r' <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 3488 7275 7576 49 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 2031 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />