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Tamrock Gravel LLC. <br />PERMIT # M- 2012 -023 <br />PROOF OF DELIVERY - Adjoining owners <br />June 26, 2012 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by ( nted Name) <br />X <br />C. Dap of <br />5 4)6 <br />livery <br />• Complete items 1, 2, and 3. Aso 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 />Jane Hude, et al <br />946 S. Avenida Del Oro East <br />Pueblo West, 81007 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (Printed Name) <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 retum 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 />Patricia Ann Tamburelli <br />P.O. Box 73 <br />Bon Carbo, CO 81024 <br />2. Article Number <br />(Transfer from service label) <br />A. Signature <br />Domestic Return Receipt <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />a Se ice Type <br />Certifted Mall <br />❑ Registered <br />❑ Insured Mall <br />4. Restricted Delivery'? (Extra Fee) <br />7010 2780 0002 1654 0030 <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Se Ice Type <br />id Certified Mail <br />❑ Registered <br />❑ Insured Mall <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7010 2780 0002 1654 0023 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />CI <br />❑ Yes <br />Shot Rock Pit <br />ddressee <br />❑ Express Mall <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />102595 - M - 1540 <br />.0 Agent <br />Addressee <br />❑ Express Mall <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />102595-02- M-1540 <br />