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McAtee Construction Co. <br />Green Brothers No. 2 Pit <br />M.L.R.B. Permit # M- 1995 -030 <br />Adjoining Owner Notice Retrun Reciept cards <br />JtIVUtli: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signatu <br />X .. <br />D. <br />Agent <br />❑ Addressee <br />C. ate o Delivery <br />• <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 />Dorn Ready -Mix Corp. <br />P.O. Box 636 <br />Fort Morgan, CO 80701 <br />2. Article Number <br />(Transfer from service labeO <br />PS Form 3811, February 2004 <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />ate o Delivery <br />•� <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 />Glasses Family Farm <br />21750 Spirit Mountain Dr. <br />Aguilar, CO 81020 <br />2. Article Number <br />(Transfer from service Labe# <br />PS Form 3811, February 2004 <br />4. Restricted Delivery? (Extra Fee) <br />Is delivery address d ' : = from Item 1? ❑ Yes <br />If YES, enter delivery a ress below: ❑ No <br />3. Srice Type <br />al Certified Mall <br />❑ Registered <br />❑ insured Mall <br />7010 2780 0002 1654 0078 <br />Domestic Retum Receipt <br />A Signature <br />❑ Express Mall <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />D. Is delivery address different from item 1? ❑ Yes <br />❑ No <br />If YES, enter delivery address below: <br />7010 2780 0002 1654 0061 <br />October 31, 2012 <br />❑ Yes <br />102595-02 -M -1540 <br />❑ Agent <br />❑ Addressee <br />3. S ce Type <br />Certified Mail ❑ Express Mall <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mall ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />Domestic Retum Receipt 102595 - 02 - - 1540 <br />