20201025 Ver 1_Certified Mail Receipt_20210210

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■ Compiete:iterns-1:,-9 and3. A. Signature i
■ Print yourname and address on the reverse L7 A t
so that we can return the card to you. x `� G �`� • S C ��� Addressee
■ Attach this card to the back of the mailpiece, B. Received by {Prfn Name) C. Date of Def!'very i
or on the front if space permits. �� o { �- I D/ Z f
1, Article Addressed to: D. is delivery address different from item 1? ❑ Yes I
If YES, enter dellvery address below. 0 No t
Sibelco North America, Inc. l
Attn: Jeffrey Ferguson
136 Crystal Drive
Spruce Pine,.;NC 28777
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Certified Mall®
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0 Registered Mail Restricted I
Delivery
Mall Restricted Delivery
©Return Receipt for
2. Article Number (Transfer from service label) _
Collect an Delivery 14erchandlse
0 Collect on Delivery Restricted Delivery Signature ConilrmatlonTM
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7 018 1130 110110 1608 2361
sured Mall
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Signature Confirmation
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j P5 Form 3811, July 2015 PSN mo-02 coo-8o53
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Domestic Retum Receipt
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