REP49606

• Permit No: M1981080
• IBM Index Class Name: Report
• Doc Date: 7/23/1990
• From: DENISE TEZAK
• To: TEZAK STONE & AGGREGATE SUPPLY INC
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

SENDERS Complete lteme .l ,end'2'whan adtlitionsl services ere .dealred„ end comp~eta items
•`3,entl 4.. +' ~ 7, ~ ~ ~ ~• '. ~'~~ - . • ' .i I • SENDER: Complete Items'1 entl 2 when. eddltional services era desired, end complete item:
Put your atldreailn the ':RETURN TO'~:, SpeCe.on the reverse'slde. Fallure'tq do this will.prevent this 3 and 4. ~ - ~ --
`eettl fr¢mbeing returned to yyou.,The return.tecei tfeewill rov'de ou.the neme.of the arson tlellvefed , Put'yqur eddreas in the "RETURN TO" Space on the,levarse-side. Failure to do this will prevent this
to and-t a date otdellve . Fdr e r tuna : ges_t e o owrngserv ces~dra~vpl. a e. oniu. t'postmpster ;I card from being returned to-yyou. The return recei ~t tee will rovide ou the name of the arson delivers[
or, a en 'c ec c ox ee for stltlitionel servicelel requested. Y:+ b 'X" ", . , to end t date of deliver -:.Fdl a Mona ees t e o owing services are avai a e. onsu t postmaete~
• 1.~ Show {o drhoni tlallvered;~date; edQ~'addre~see's addrem: 2. -D ~~R4stricted;Delivary" or a en c ec c ox es ~Idr additional servipelsl requested.
` , ~ -_ (Fxlyd cMrge) ? '.' (Erlm charge) ' .~. 1. Show, to whom delivered, date, entl add`e~giee'S edtlrass. ~ ~2. ^ Rsatrleted Delivery
3,.A[tlela Addressed'tot: ' 4. Article'Number ~ ' ~. ~ (Extra cMrge) ~ ~„ ~ ~ (Erma cMrge)
Safeco Insurance Co. of America P: 459 280' 726 i 3. Article Addressed to: , j 4. Article Number
'.12499 W. Colfax ' r ; Type ofservida: Tezak Construction Company P 459 280 726
Lakewood, .Colorado 80215: ^ Bi>tarad .. ^ la>graa Box 2110 Type of Service:
~rtified ~ ^ COD ~ Canon C 1 ty, C01 ~0 81215 ^ Ragi>tered '^ insured
" Return Receippt Certifi
Ezpreaa M~ ^ for Mar hentlisa w e~ . ^ COD
^ Ezprea Mail ^ Return Receipt
• ~:.• ~ - # .i ~. lar Merchandise
,~ ,Always otitein Slgdsture o1 addrese~ ,
-',~ ; .: ~ Pg ar a ant entl DATE DE S ` Always obtain eipnature of addressee
5 re ~ ~ 8. ra55ee'S ti B 'if f or eBent entl DASE DELIVERED.
.X ~ re nested" Op ` ,' 5. Sig a 're - dre 8. Atldressegs Address (ONLYif•
_ `1`N ~ F X regr¢sred and jee paid)
` :, $ nature ~ nt ; ..
) I • ~ '~ w [p~ ~ `rf' 6, Signature -Agent, ~ /n~/X' , ~ ~ 1~
X Date of. Delivery , ~ t~j~ 1 X (~" ' G r. ~6`'^~ ~Of~~
,. _ ~ • : ~ ~ , . O 7. Date of Delivery ' ~ ,.::.: ; C. ( ,.' ~ a~,: ',.
- , ~~ ' JIiN '.4 1990 : -..;~~ ,~
-PS Form 3811 •• ..1988 '•'+'U.S.G:F.O.•7958-212r-885 ~~ DOMES ~HECEIPT ~ ~" ": ~ ~ /3 •--••~ ~ ",
____;+ •~ PS Form 3811, Mar: 1968•-~!U. S.G.P.O. 1998-212-885 ~DOMEStIC~REYURN RECEII
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