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COMPLETE • <br /> ■ Complete items 1,2,and 3. A. Si re <br /> ■ Print your name and address on the reverse X Agent <br /> so that we can return the card to you. ISI-Addressee <br /> ■ Attach this card to the back of the mailpiece, B. ecelved by ftinted Name) ate f Delivery <br /> or on the front if space permits. �i .112- <br /> 1. Article Addressed to: 7 i1 D. Is delivelf address different from item 1? ❑Yes <br /> If YES,ent %fflD ❑No <br /> Russell A. Larsen - <br /> Grand Junction Concrete Pipe Co. MAN 2 71019 <br /> 556 Struthers Ave. <br /> Grand Junction, CO 81501-3826 <br /> I I IIIIII III II I I II II I I I I III 'III I II I I III 3. Service Type i ty Mail press$ <br /> ❑Adult Signature ❑Registered MaHTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> t9Certified WHO Delivery <br /> 9590 9402 3488 7275 7577 17 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT <br /> ❑Insured Mail ❑Signature Confirmation <br /> 0 16 2 716 0 0 0 0 2 9 6 5 21 L ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />