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°~ SENDER: <br />V •COmplale itertw 1 anNor 21or addiaorul s•rWO•e. I a150 Wish l0 reCBlae the <br /> •Corriplete items 3, 4a, aM 4b. fdlOWing eeNiC05 (fOr en <br /> •PrirN your name ana address on the reverse of this knn so that we can rMUm this extra lee); <br /> W rd to you. <br />j •Anach Ihie bon to the hoot of (h0 Tailpiece, or on IM book it apace Woe nol ~, ^ Addree56e'6 Addfe55 <br />~ <br />am •Wme'Rrxum Reaa9,` R ues/ed'on the mail ' below the enicle retmber. <br />~ <br />s <br />de w <br />2.~Restricted Delivery ~ <br />y <br />c <br />, •The Retum Receip <br />wiY <br />how to vvhamthe sni <br />agdelivered endth~ date ~ <br />~ delivered. Consult posbnaster for tee. <br />o <br />3. Article Addressed to: <br />4a. Article Number <br />S MIL JOI~i P ARY Z 191 517 216 ~ <br /> HARD ROCK PAVING 6 REDI-MI% 4b. Service Type <br /> P.O. BOR 841 d Registered ^ Certified a <br /> CANON CITY CO 8 1215 ^ Express Mail ^ Insured ~ <br /> ^ Retum Receipt for Merchandise ^ COD ~ <br /> <br /> 7. Date of Delivery ~- <br /> . ~~ ° <br />r <br /> <br /> 5. oeived ey: n N 8. Addressee's Address (Only it requested ~ <br /> and fee is paid) _ <br /> <br />~ Ignature; (A ressee of Agenl)j <br />~ X <br />A <br />- <br />Ps Fom~ 313'11, December tsga <br />omestic Return Receipt <br /> <br />~ rt;. <br />, _.__ ._ _.u. <br />~ L~ <br />Z ~R9p• c,~_ <br />US Postal Ser~ # p~ ~ _'~~'~. I~~ ~ <br />Receipt for ~ernr~d7Aall C7 <br />~ <br />No Insurance Coverage Provided. G; <br />Do not use for Intemafional Matz See reverse :. <br />Serd to w <br /> J <br />~IbU /V Number <br /> <br />Pose Olfica, Sbve. 8 ZIP Code ? <br />fD <br />r -+ <br />Postage ~ ~ ~ N <br />Cer66ed Fee Z <br /> 3 <br />Spedal Delivery Fee <br /> IV <br /> <br />Reatriaed Dente Fee (n <br />N <br />$( FkNm Receiq <br />PJhan 8 D <br />t O <br />a <br />e Cb <br />- FleUn <br />'ice <br />D <br />l <br />B M ~ <br />~ <br />a <br />a, <br />tr <br />Q <br />~ TOTAL P 8 ~ S 1 <br />Posenark D Q <br />t. <br />Z Y <br />~ <br />LL O <br />y <br />a N <br />~ <br />-- - -- W <br />