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<br />C <br />0 <br />_~ <br />u <br />4 <br />0 <br />r <br />e <br />.Complete items 1 endor z Nr edditlorW sarvkee. <br />•COmpate Nerru 3, b, eM lb. <br />ePdm your name end etldreee on Ne reverse of Chia hmn w Me 1 we can ratum trtie <br />card to you. <br />eAtlsch thb form to the hom of the rtW Ipiew, or an IM bark if r pace does nut <br />• WMd'ReNm Receipt Requested' an tlr meilpieca below Na r,dide nurMar. <br />aTM Retrmr Receipt will chow to whom the snide was tlelivare 1 end the date <br />tleltverotl. <br />a e!nNn e.1.l.eeeed 1n• ~m arsrlw h <br />Mr. lay Wagner - <br />Wagner Construction, Inc. <br />96400 E. Highway 40 <br />Craig. CO 81625 <br />Livery S <br />X~ '~1-,- Jn 7~ T <br />s Address (Only i! rerjuested ~ <br />PS Form 3811, December 1994 <br />I also wish to receive the <br />following services (for en <br />B%tfa teB~: a <br />1. ~ Addressee's Address Z <br />2. O Restricted Delivery n°j <br />Consult postmaster tw fee. ~ <br />m <br /> <br />mbar m <br />•/~ 'r <br />r' ~~O ~I R <br />I <br />/Pe ~ <br />^ Registered [~ Certified ~ <br />^ F~tpress Mall ^ Insured 5 <br />m <br />^ Retum Receipt for Mettirendise ^ COD <br />end fes k paid) <br />1025959].D-0179 <br />~_ _ ~ <br />sac. 4C <br />Z 19~ie5#9 ~ ~ <br />US Postal Service ~ <br />1 <br />Receipt for Certified~"~Jat -- <br />No Inwrance Coverage Frovigr~~ /p~~Y~J~,1f1 <br />Do nol use for Inlemation ai Mail /See reve75eY ~ 1 <br />.m <br />m <br />Q <br />G <br />m <br />E <br />0 <br />LL <br />N <br />a <br />Mr. Jay Wagner <br />Wagner Cnnswction. Inc . <br />96400 E. Highway 40 <br />Craig, CO 81625 <br />Postage 3 <br />Certified Fee <br /> ~~ <br />Spedal Delivery Fee 4i ~ 1! ~. \• <br />Reslrided Derrvery Fae W '~ ~ <br /> ~ <br />Retum Receipt Showing to `' <br />w4am d Dete Deivemd \ / <br />Realm Rece;A Showigbwmm, LISPS <br />Date, E Mtasee's Aedess <br />TOTAL Postage 8 Fees S Z ~ p <br />Postmark or Dale <br />.! <br />i <br />1 <br />.; <br />~j <br />7 <br />~_ <br />[7 <br />rR <br />>_ <br />