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1-9 <br />M <br />(Domestic Only; No Insurance Coverage Provided) <br />r%-- For delivery information visit our website at B <br />M _ <br />CO <br />-- <br />Postage: ST $1122 <br />° Certified Fee: $2:80, <br />$2.3.0, <br />C3 % a cE Return Receipt Fee: MAY <br />o (E Total Postage & Fees: z $6.32'.' <br />ern +,•? ??? ti <br />Total Postage a Fees <br />m 2 <br />?? US P 5? <br />sent To <br />Street,AptiNo.;Robert Ray ----------- <br />O orPOBoxft. Lafarge West, Inc. <br />171- C/ty-6, State,DP+4 10170 Church Ranch Way, Ste. 200 <br />Westminster, CO 80021 <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 />1. Article Addressed to: <br />A. Sign <br />X ? Agent <br />? Addressee <br />B. Received by rinted ame) C. Date of Delivery <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Robert Ray I <br />Lafarge West, Inc. <br />10170 Church Ranch Way, Ste. 200 <br />Westminster, CO 80021 3. Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7006 3450 0000 4878 3731 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />?e?, <br />5a-bZ