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<br />tplete 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. ARirle Addressed to: <br />' Mr. Mike Prehm <br />LaiFarge West, Inc. <br />,j P.O. Box 368 rin s, CO 81602 <br />- Glenwood Sp 9 <br />A. Signat I ^ ggent <br />~( Addressee <br />B. Rived by (Printed Name) C, Date of Delivery <br />J 'srl 1~~C1•t- 11TH ---- <br />D. Is delivery address different fro end 4? ~~ Yes <br />If YES, enter delivery add Q .~elow• <br />1~,~ ~ 1~ <br />II ~~ , <br />~~ . <br />._ ~~` <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />D Registered ^ Retum Receipt for Merchandise <br />D Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number DDOD 4 87 8 47 D? <br />7DD6 345D <br />~ansfel from service label) 10259502-M-1546; <br />Domestic Return Receipt <br />PS Form 3811, February 2004 - --- - - - - <br />~~" ~i~'l~ ~J n~ <br />~~~b ~ <br />~~ . ~~~~ <br />