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~~ v i Si ~''~ <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 />a <br />X <br />(^ Agent <br />1. Article Atltlressetl [o: <br />Jack L Hawkins `~ <br />Western Slope Construction Co <br />1221 Hwy 50 <br />Delta CO 814163112 <br />Received by,('Pd Name C. Data of Delivery <br />l ~ /~° 6 <br />D. Is delivery address different from item 1?, '~ d Yes <br />It YES, enter delivery atltlress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Memhantlise <br />^ Insuretl Mtil ^ C.O.D. <br />4. Restricted Delivery? (Fx6a Fee) ^ Ves <br />z. ArticleNUmber 7005 3110 0000 2197 8440 <br />(transfer from service IabelJ <br />PS Form 3811, February 2004 Domestic Return Receipt toz595-0z-xt-tuo ~, <br />>°'~S <br />~~'~ ~ 'r'i MGC ~al~ S <br />r/s~t- II~q~O(~i <br />//~~Iq~3-zoo <br />