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e SENDER: ✓ 1 also wish to receive the <br /> V •Complete items 1 amVor 2 for additional services. W <br /> W 0Complete items 3,4a,and 4b. following services(for an <br /> Nn sprrinyour� name and address on the reverse of this form so that we can return this extra fee): � <br /> rd to <br /> j aAgach this form to the from of the mailpiece,or on the back if space does not 1, ❑ Addressee's Address <br /> d permit. m <br /> y aWrite'Return Receipt Requested'on the mailpiece below the article number. Z ❑ Restricted Delivery y <br /> eThe Return Receipt will show to whom the article was delivered and the date n <br /> delivered. Consult postmaster for fee. d <br /> 0 <br /> a 3.Article Addressed to; 4a.Article Number me <br /> o NE DON KERN P 502 131 799 c <br /> E DON REHN CONSTRUCTION INC 4b.Service Type <br /> 6322 S COLLEGE AVE ❑ Registered Certified <br /> y C <br /> FT COLLINS CO 80525 ❑ ExpressMa'nQS^��� Insured <br /> Return R pifolMerGla 15e'� COD <br /> 7.Date of D ive i7 � <br /> /0 r <br /> 5.Received By; (Print Name) B.APP69seeVAddregs(�ff requested <br /> m rid lee is paldj'S` <br /> g 6.Signs : ( dresses or Agent) ~ <br /> r X <br /> PS Form 3811, December 1994 - Domestic Return Receipt <br /> Spot. <br /> P 50 ,� 131 799 Q <br /> � <br /> �Ise�ifiFile ed Mail <br /> No Insurance Coverage Provided. <br /> Do not use for fntemetional Mail See reverse U <br /> to CAI <br /> C a <br /> a EOLLECE AVE CD 1 <br /> IP a ni <br /> postage $ <br /> Certified Fee ShL4pa. , <br /> N <br /> Spedal Derrvary,Fee p (Jt <br /> r <br /> Restricted Delivery <br /> N <br /> � Return Recept Stn ' g to <br /> Whom&Date Deli d (� <br /> Q Wh BMRasue'A ('1 <br /> O LXJ <br /> �O TOTAL <br /> Postage 6 Fees 1r <br /> rost, or Dere 0 <br /> Iff N <br /> t° O <br /> y W <br /> a <br />