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e <br /> COMPLETE • •IIJPLE-[��:'-41S SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. °' Signati r <br /> ■ Print your name and address on the reverse X -i'�aQ ���y�2, �— ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> D. Is delivery address different from item ? ❑Yes <br /> Mathias Concrete Inc. If YES,enter delivery address below: [INo <br /> Attn: Thomas Mathias <br /> PO Box 266 <br /> Monte Vista, CO 81144 <br /> Account Number: M-1980-201 <br /> J 3.-Service Type ❑Priority Mail Express® <br /> I II I' I I I I I I 111111 <br /> E <br /> I I I I I I I I I I II I I I El❑Adult Cert fSi Maur Restricted Delivery ❑RDeg eteyred Mail Restricted <br /> 9590 9402 2543 6306 1145 35 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 - •• -• — ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> ?016 214 0 0 0 0 0 2 3 4 5 7 0 5 9 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> -- --- ----- - --- --- ——- (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />