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SENDER: COMPLETE THIS SECTION <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 />Mr. Jim Bartmess <br />Centennial State Paving, Inc <br />P Box 11468 <br />Pueblo, CO 81001 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />rtiO <br />Postage: <br />Certified Fee: <br />ru Return Receipt Fee: <br />° (Er <br />° R Total Postage & Fees: <br />(Er <br />Sent To <br />Street, Al <br />or PO 8o <br />City, Stat <br />COMPLETE THIS SE=CTION OV DELIVERY <br />nature <br />i/. <br />Recel by (Printgd Name) C Date o Delive <br />0 wAtty-i <br />D. Is delivery address different from Rem 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Domestic Return Receipt <br />Ice Type <br />Certified Mail ❑ Express Mall <br />egistered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7011 3500 0002 9607 7800 <br />U.S. Postal ServiceTM <br />CERTIFIED MAIL. RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.come <br />Total Postage & Fees $ <br />$0.65 <br />$2.95 <br />$2.35 k <br />$5.95 <br />Mr. Jim Bartmess <br />Centennial State Paving, Inc <br />P O Box 11468 <br />micsamm=m CO 81001 <br />❑ Agent <br />❑ Addressee <br />❑ Yes <br />102595 -02 -M -1540 <br />