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ENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />I . A Li LiII • <br />B. Received by ( Printed Name) <br />A. Sgnature <br />CI Agent <br />• ❑ Addressee <br />Q. Date i Delivery <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 />2. Article Number: . <br />(Transfer front ervlceIatieD <br />PS Form 3811, February 2004 <br />L.G. Everest, Inc. <br />P.O. Box 5829 <br />Souix Falls, SD.57117 -5829 <br />7006 2150 0002 0813 5079 <br />L) r1C crron mnnn norm <br />• <br />U <br />H <br />0 <br />r <br />v <br />onnr <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />Certified Mall <br />❑ Registered <br />❑ Insured Mall <br />Domestic Return Receipt <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />❑ Express Mali <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />SENDER: COMPLETE THIS SECTION <br />j • 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 />Tri -State Generation & <br />Transmission Association, Inc. <br />P.O. Box 33695 <br />Denver, CO 80234 <br />Article Number <br />(Transfer from service Labe° <br />1 PS Form 3811, February 2004 <br />990S ET9D 2000 05't2 900L <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signatu <br />ved by (Prints N <br />D. Is delivery add <br />If YES, enter d <br />Domestic Return Receipt <br />0 <br />L.) <br />cc <br />drffe m item 1? ❑ Yes <br />I v el w: Cl No <br />Q 49 <br />3. Service Type \ <br />Certtfied Mai■ Expr . JF <br />❑ Registered a Ret m Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7006 2150 0002 0813 5086 <br />M <br />all <br />U <br />N <br />0 . <br />E <br />0 <br />❑ Yes <br />❑ Agent 1 <br />❑ Addressee l <br />C. Date of Delivery <br />102595 -02 -M -1540 <br />