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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> • Print your name and address on the reverse1 Agent <br /> so that we can return the card to you. x `' - ,,;A. 0 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Rece: -, by(Print-. ame), - C. Date of Delivery <br /> � <br /> or on the front if space permits. Ste`. � , O�"� �UGo j 12,-2,7-1a( <br /> R, different from item 1? 0 Yes <br /> Mr. Daniel Tezak %`ag! ss below jio <br /> Canon Dolomite Quarry, LLC JAN 0,0 2c23 <br /> 205 Tunnel Drive -�,v. ,,,_ <br /> Canon City, CO 81212 . ',Ai °F FC <br /> N., <br /> 111111111111111 <br /> I I I II III II I I I I 1111 I IIIIII III 3. Service Type s�A�'Tr N p Priority Mail Express( <br /> 0 Adult Signature 0 Registered Mailrv' <br /> 0 Adult Signature Restricted Delivery 0 Registered Mail Restr <br /> 9590 9402 3770 8032 0346 29 0 Certified Mail® Delivery <br /> 0 Certified Mail Restricted Delivery 0 Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirm <br /> ',rail 0 Signature Confirr <br /> 7 018 2290 0001 8923 614 9 ll)il Restricted Delivery Restricted Delivr <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return <br />