2016-05-19_REVISION - M1980244 - Laserfiche WebLink

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N DELIVERY .ER: COMPLETE THIS SECTION • . ON DELIVERY SENDER: COMPLETE, .N COMPLETE THIS SECTION. A. Signature complete items 1,2,and 3. A. Signatur ■ Complete items 1,2,and 3. ❑Agent ❑Agent ■ Print your name and address on the reverse Tint your name and address on the reverse X ❑Addressee So that we Can return the Card to you. ❑Addressee 8o that this Can return the Card to you. B. Received by(Printed Name) C. Date of Delivery 4ttach this card to the back of the mailpiece, B. Received by(Printed Name) / C. Date of Delivery ■ Attach this card to the back of the mailpiece, )r on the front if space permits. W Or I'-1(, ((/111; - ,S- 1� -/42 or on the front if space permits. "-( ,( & �f 1/e,,. TW,Hl Aririraccari tD- D. Is delivery addres,� ere from item 1? ❑Yes 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enteKd6lik��a�r&s Qelow: ❑ No If YES,enter delivery address below: lz b a WEST TRUST,MARLENE T REGESTER,JEFFREY A 2504 EAST GARDEN LN `0 � CO- ` � BOX 1608 ° ' �'.-� " CRIPPLE CREEK,CO 80813 sREENWOOD VILLAGE,CO 80121 � y ---- � 3. Service Type ❑Priority Mail Express® 3. Service Type D Priority Mail Express® II I IIIIII IIII III I I I I I I I I II IIIII II II II I IIIII III ❑Adult Signature ❑Registered MaiITM ❑Adult Signature ❑Registered Mailr" ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted II I IIIIII IIII III I I I I I I I I II IIIII IIIII IIIIII I III Adult Signature Restricted Delivery Cl Registered Mail Restricted ❑Certified Mail® Delivery ❑Certified Mail® Delivery 9590 9403 0904 5223 6755 72 Certified Mail Restricted Delivery ❑Return Receipt for 9590 9403 0904 5223 6751 90 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise ❑Collect on Delivery Merchandise El Collect on Delivery Restricted Delivery Signature ConfirmatlonT^' 2. Article Number(Transfer from service label) VI Collect on Delivery Restricted Delivery Signature ConfirmationTM rl Insured Mail ❑Signature Confirmation .rr ancfar from service label Mail O Signature Confirmation ) 7 015 1660 0000 0779 5781 d Mail Restricted Delivery Restricted Delivery 7 015 1660 0000 0 7 7 9 5941 Mail Restricted Delivery Restricted Delivery 6500) 1 PS Form 3811,July 2015 PSN 7530-02-000 9053 Domestic Return Receipt Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return ReceiptPNDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON!,0 IVERY SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY Complete items 1,2,and 3. A. Signature ■ Complete items 1,2,and 3. A. Signature ' Print your name and address on the reverse ❑Agent ■ Print your name and address on the reverse X ❑Agent X� ❑Addressee so that we can return the card to you. ressee so that we can return the card to you. y ved n ed Dat of elive Attach this card to the back of the mailpiece, B. Rec ' d rioted Na e) �ea�ef Deli a ■ Attach this card to the back of the mailpiece, ry or on the front if space permits. � � �h �� or on the front if space permits. L / Article Addressed to: D. Is delivery address different from item 1? ❑Yes 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No If YES,enter delivery address below: ,<No DISTRICT LAND OFFICE LLC HUMPHRIES CORP PO BOX 633 C/O SMITH,HAL CRIPPLE CREEK,CO 80813 2454 WAYNOKA RD COLORADO SPRINGS,CO 80915-1690 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Express® II I IIIIII IIII III I I I I I I I I II IIIII II I IIII I I II I III ❑Adult Signature ❑Registered Mail ❑ ❑Adult Signature Registered Mail ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted IIIII IIII III I I I I I I I I II IIIII IIII I I II I II I III 17 Adult Signature Restricted Delivery ❑ RRegistered Mail estricte ❑Certified Mail® Delivery ❑Certified Mail® Delivery 9590 9403 0904 5223 6762 27 ❑Certified Mail Restricted Delivery 0 Return Receipt for 9590 9403 0904 5223 6764 01 ❑Certified Mail Restricted Delivery ❑Return Receipt for O Collect on Delivery Merchandise ❑Collect on Delivery Merchandise Arti,-1A 1Ji,mhor/Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM ;ail El Signature Confirmation it ❑Signature Confirmation 7 015 1660 0000 0779 6603 ail Restricted Delivery Restricted Delivery 7 015 1660 0000 0779 6399 it Restricted Delivery Restricted Delivery PC 1=nrm gA11 hdv OlNG Done icon nn non noon - .. ..