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<br />P 5017 41,1 559 <br />v <br />O <br />P. <br />Q <br />C <br />C <br />R <br />n: <br />C <br />v <br />a <br />r. <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />n Inr Intern ~linnal AA~iI /CPP IP VPICPI <br />52n11OBac 1'te M sa, nc. <br />~Ce <br />t <br />~C <br />~ <br />z <br />ru <br />C <br />$ Fran <br />Slreel8 Numoer <br />339 S. Santa Fe Suite <br />Post OPore, Stale. 8 ZIP Cade <br />ueblo Co. 81003 <br /> <br />Postage ,~ ,3 ~ <br />CenAietl Fee ,~Q <br />Speoal Delivery Fee <br />Resldtled Delivery Fee <br />Relum Receipt Showing to <br />Whom 8 Date Defvered <br />Rehm Re[e'.p15Gar'~l01~'no~i <br />' J \ <br />Dale. d Atldresse ' M /N <br />/ <br />TOTAL Post~gs~~Fees ~ i~ ~ <br />~ <br /> A <br />Postmark o Dal i p:+ ' `~ <br />~ <br />y <br />J 4 <br />p <br />~~~ <br />y, <br />A <br />~' SENDER: <br />a Complete items 1 anNor 2 for atltlitional services. a50 Wish l0 receive the <br />ru •Complete items 3, da, and 46. following ServIC05 (for an <br />h •Pdnl your name and address on the reverse or this form so that we can return Ihis extra fee <br />~ <br /> <br />j card to you. <br />•Attach this loan to the Iront of the maipiece, or on the back if space does not <br />7 <br />^ Addressee's Address d <br />u <br /> permit. , ~ <br /> <br />m •Wnle'Relurn Recei (Re uesled'on the mail ace below the adrele number. <br />p g w <br />2. ^ Restricted Delivery °1 <br />m <br /> •The Relum Receipl will show to whom the anitle was delivered and the dale <br />~ delivered. Consult postmaster forfee. a <br />. <br />o <br />v <br />3. Article Addressed lo: <br />4a. Article Number ~ <br />m <br />m Baculite Mesa, Inc. P 500 911 559 ~ <br /> <br />E 'o Frank Krutzke 4b. Service Type <br />$ 339 S. Santa Fe, Ste A <br />^ Registered ]C] Certified <br />w Pueblo, CO $1003 ^ Express Mail ^ Insured y <br /> ^ Retum Receipt for Merchandise ^ COD <br />0 <br />0 <br />R <br />2 <br />7. D t el~yery <br />yl_G, ~~ <br /> <br />o <br /> Cl T <br />~ 5. Received By: (Print Name) 6. Addressee's Address (Only it reques(ed ~ <br />ru and lee is paid) t <br /> f. <br />~ 6: Signature: A d ssee or Agen <br />'~ <br />N ~ ~?_LGCk, ~~'~ <br />Ps Form 3811, December 1994 ~ / Domestic Return Receipt <br />