Laserfiche WebLink
^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print 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 front if space permits. <br />1. Article Adtlressetl to: <br />A $tggature ./ <br />V~ ha Agent <br />8. Receivetl by (Printed Name) C. Daie of Delivery <br />~Um Lo-rr'" n /C -IO -OG' <br />D. Is delivery addresv different fmm kem 17 ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />_/_~, <br />! R_ obert A Larson v , <br />ZMK Mine Construction Inc 3. Service Type <br />PO Box 85 ^ Certified Mail ^ Express Mail <br />~ _ Ouray CO 81427 ^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdcled Deliver)? (EMia Fee) ^ yes <br />z. ArticleNumher 7003 1680 0000 6427 866 <br />(riansrer /mm service IabeQ <br />PS Forrn 381 ~, February 2004 Domestic Retum Receipt iozsssaz-to-fseo <br />U' " <br />M-~a~i-~~C~~-- <br />