Laserfiche WebLink
COMPLETE •N COMPLETE THIS SECTIONDELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X �-A Wo g J Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Recei 7 0 Name) C. Dat of livery <br /> or on the front if space permits. r �"�f` D ()v Z� <br /> "`—A,+,+— 4+^' D. Is delivery address different from item 1? ❑ es <br /> If YE�1.&rge ve address below: ;�f No <br /> Ms. Patricia M. Farnsworth I ����, / � <br /> ismsworth Construction and Gravel Company <br /> 175 Hvvv 133, ^^ ��dA;/DJ� <br /> Paonia. CO 81428 _M-2004-025&M-1982-1 54 Stephanie M. Y <br /> Il"II II III I'I I III l I l I ll Il I I II'(�III I'll ,. Service Type ❑priority Mail Express® <br /> ❑Adult Signature ❑Registered MajlTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mai:® Delivery <br /> 9590 9402 5506 9249 0489 12 Certified Mail Restricted Delivery D Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(transfer from service label) ❑Collect on Delivery Restricted Delivery D Signature Confirmation <br /> T" <br /> 'nsured Mal ❑Signature Confirmation <br /> 7 017 2400 0000 9119 1846 nsured Mall Restricted Delivery Restricted Delivery <br /> over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />