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L.G. Everist, Inc. <br />PERMIT 9 M- 1999 -120 <br />PROOF OF DELIVERY - Adjoining owners <br />April 25, 2012 <br />1 <br />1 <br />oa <br />1 <br />N <br />'.O <br />›7'Y co <br />lU <br />rd U <br />4-) • O � <br />+•.1X <br />COW 00 <br />HO ) <br />Cf3 r z <br />fi <br />• Complete If R e s d and Also complete <br />- item 4 4 ff Delivery y d <br />Is desired. <br />• Print your n address on the reverse <br />so that we cart.retum the card to you. <br />• Attach this card to the back of the mallpiece, <br />or on the front If space permits. <br />1. Article Addressed to <br />United Power <br />P.O. Box 929 <br />Brighton, CO 80601 -8519 <br />2. Article Number <br />(Transfer horn service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />7010 1670 0001 7822 5188 <br />Fort Lupton Sand and Gravel <br />D. Is delivery address different from item 1 ■ Yes <br />If YES, enter delivery address below: 0 No <br />SENDER: COMP: ETE THIS SECTION <br />COMPLETE THI.c: SECTION ON DE. /VERY <br />0 Agent <br />0 Addressee <br />3. Sepia lepe <br />ei Certified Mali D ) Mall <br />0 Registered W Return Receipt for Merchandise <br />0 Insured Mall 0 C.O.D. <br />4. Restricted Delivery'? (Extra Fee) <br />0 Yee <br />102595424A-1540 <br />12 <br />