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Summit Brick & Tile Company Native/Pierre Mine <br /> M-1977-321 Proof of delivery <br /> SENDER: DELIVERY. <br /> ■ Complete items 1,2,and 3. A. Sign re <br /> ■ Print your name and address on the reverse X -4Nl- � El Agent <br /> so that we can return the card to you. El Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Qate f DeliYery <br /> or on the front if space permits. I ` 1 5`1"0 <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Gilbert Ortiz <br /> Pueblo County Clerk&Recorder <br /> 215 loth Street <br /> Pueblo,CO 81003 <br /> �'I I III I I I III I I Iill I II III I I I I I I 3. Service Type ❑Priority Mail Expresso <br /> O Adult Signature ❑Registered Mal- <br /> 0 Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 5269 9154 9553 45 El <br /> ❑Certified Mailo Delivery <br /> 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 /> t ❑Insured Mail ❑Signature Confirmation <br /> 7 019 2970 0000 4461 8026 0 Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED MAILO RECEIPT <br /> ..n <br /> ru Domestic Mail Only <br /> co AU,mir-Tilm <br /> ,Z A L <br /> � Certified 09 <br /> � t t �71 6 <br /> $ 1) c CIO <br /> Extra rvices ees(check box,add fee a apprpp e) <br /> � ❑R urn Rec t(hardcopy) $ <br /> O ❑ turn Receipt(electronic)y * I I fl Postmark <br /> C3 ❑ rtified Mall DaRvoil - <br /> p Y ••• Here <br /> ❑ uit Signatur <br /> 0 ❑A It Signature Restricted Delivery$ <br /> Pasta p c <br /> Ir $ J/ �.a.G.i <br /> RJ Total Pos F w` I l'�% 1�4 1?I I <br /> S (iracN�dV_ <br /> r i Sent To `� <br /> ED Gilbert Ortiz <br /> C— Streetan Pueblo County Clerk&Recorder <br /> ---------------------------- <br /> Ciry�S[al <br /> 215 10th Street ____________________________ <br /> Pueblo,CO 81003 <br /> 50 <br />