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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sigllidture <br /> ■ Print your name and address on the reverse X �Txt_� <br /> ❑Agent <br /> so that we can return the card to you. i 15�^1 ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. e i by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. ! Z <br /> 1 o ri,ia a+,+. .,1+ • — n ,delivefy adbrllf I er n ro I m 1? 0 Yes <br /> (ES,enter delivery address below: ❑ No <br /> Wlti'�ewater Building Materials Corp. <br /> PO Box 1769 JAN 2 2 2021 <br /> Grand Junction, CO <br /> 81502-1769 Div, :`. i or <br /> MINING AND SAF�1Y <br /> M-1977-129 Amy Y <br /> Typo ❑Priority Mail Express <br /> ❑Adult Signature O Registered MaiITM <br /> ❑Adult SSIgignature Restricted Delivery ❑Registered Mail Restricted <br /> QD Delivery <br /> 9590 9402 5506 9249 0488 37 o 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 ConfirmationTM <br /> ❑Insured Mail ❑Signature Confirmation <br /> ed Mail Restricted Delivery Restricted Delivery <br /> 70117 2400 0000 9119 1921 $500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />