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M-1978-287 <br />ToJel Postepe 8 Fees <br />O ~~ <br />m «(Ea'~ Totol Posiage & <br />N ~ ~ <br />u7 •. <br />~ e 1117 ~1r CO~ <br />~ Postage: $.83 <br />'~ Certified Fee: $2.30 - __ <br />n ~ <br />n Return Receipt Fee: $I.75 SdS~~ \ <br />R <br />S _ <br />°n r MR THOMAS E BRUB <br />r` S6ei VALCO GiJNNISON C <br />o.a PO BOX 837 <br />GUNN[SON CO 81230 <br />NAY <br />19 <br />2VUJ <br />^ 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 Addressed to: <br />MR THOMAS E BRUBAKEI2 ~~ --- ~- <br />VALCO GUNNISONCONCRETE DMSION <br />PO BOX 83'7 ` <br />1 GUNNISONCO 87230 <br />2. Article Number <br />(r2nsfer Irom seMce labep <br />,~S Form 3811, February 2004 <br />A. Signature <br />X t~ <br />B. Received by (Printed Name) <br /> <br />C. Date of Deliverf <br />D. Is delivery address tliffereM from item 77 ^ ves <br />If YES, enter delivery address below: ^ No <br />3. Se a Type ' <br />Certified Mail ^ Express Mail ' <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.O. <br />4. Restricted Detlvery7 (Ext2 Feej ^ Ves <br />704 1350 0001 1635 8525 <br />Domestic Retum Receipt 1025952-M~1540 <br />