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^ Complete items 1, 2, and 3. Also complete <br />item 4 ii Restricted Delivery is desired. <br />^ Prfnt your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the frgnt if space permits. <br />t. Article Atldre9Sed to; <br />Mr john Lohr <br />CEMEX Inc <br />PO box 529 <br />Lyons CO 80540 <br />A. Receivetl Dy (Please Pn~nt Cleary) ~ B. Date of Delivery <br />C. Si nature <br />X ~ 9'1Cgent <br />ddressee <br />D. Is delivery atld2ss different i <br />H YES, enter delivery edtlr ow: A U~ <br />t ~ ~ <br />2001 <br />3. Service Type <br />~Brtifled Meil ^ Erpress Mail <br />~ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery9 (Extra Fee) ^ Yes <br />2. Article Number /Copy hom service fabe!/ <br />700o ciao c~r.~ rloR9 9~S9a <br />P5 Form 3811, Jury tsss Domestic Return Receipt 102595~OO~MA952 <br />^ <br />I• e <br />flJ <br />tin UMG-}3i3 Sherman, Rm 215, penvar, CO 8B <br />tr <br />D" Postapa g <br />`n Certi(ed Fea ~~ <br />rl <br />~ Retum Receipt fea ~ . 1--f~ Pastmadc <br />~ tEntloreamanr Required! 7 (./ R~ <br />O Restricted DeAvery Fee G R r`C <br />O IEedwsement RequireQi y+~ <br />~ Tote! Postage 6 Feee .g u <br />ti ~ 7 ~~ ,~G~, ; <br />uT ReolplenYS Na ' ~ To lb comer rea <br />o Mr]ohn Lohr <br />o sneer, ape. No.; o CEMEX Inc "-•---------- --G- <br />- . PO Box 529 `sP 4 <br />~ City, Sble, Z1P~ 9 ~ <br />~ ~_ Lyons CO 80540 <br />