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COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. ignature <br /> ■ Print your name and address on the reverse , ❑Agent <br /> so that we can return the card to you. �l(/v ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, Re 'ved by T,6,' d Na e C. Date of Delivery <br /> nr nn tha front if cnacp nPrmits- « "� /� <br /> d ress different from item 1? ❑Yes <br /> Mr. Ralph Martinez YES,enter delive add" below: ❑ No <br /> Asphalt Gravel Products,Inc. L <br /> 117 White Pine Drive <br /> Alamosa,CO 8 110 1 �F�C��pTIC'N <br /> M-1978-271 L. West p1�IMINING AND SAFETY <br /> 3. <br /> I I I' III I I I I I II I I ( III II I II II I I El Adul Service gn turre Restricted Delivery ❑Reg st red'Mail Restricted <br /> 9590 9402 2543 6306 1127 39 El <br /> ❑Certified Mails Delivery <br /> Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Nt imhar lTranefc:f. -�- l Collect on Delivery Restricted Delivery El Signature ConfirmationT" <br /> I Insured Mail ❑Signature Confirmation <br /> 7 019 2280 0001 8254 8999 1 Insured Mail Restricted Delivery Restricted Delivery <br /> I (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />