Laserfiche WebLink
DELIVERYSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON <br /> ■ Complete items 1,2,and 3.Also complete 4183FIeceiv <br /> t 64-pn <br /> item 4 If Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. by�((Pnfn,�WName) C. Dat of livery 0 ro :- ■ ■ ■ ■ Attach this card to the back of the mailpiece, � �• � � 1n <br /> m o D ! or on the front if space permits. f J !- / <br /> . Is I- 3 fl1 <br /> m � 0 a 3 1. Article Addressed to: 1? Yes < <br /> w-< -W if Y S, No < M <br /> W c KJ �rt to D =.."0 =a <br /> -� M En n � � K m JUL 2 7 2016 <br /> o� _ <br /> o rt H. �a , m �_ 11739 County rid 13 r C- <br /> c o to a o y ( H <br /> _ p r a iv PO Sox 274 - — fp n <br /> ,z co N• r1-Pg� Longmont, CO 80502-0274 gWN O <br /> o ( 0 N a (D A) Q to , -_ Certified Mail ❑Express Mail n�- o a ❑Registered, �Return Receipt for Merchandise <br /> o ro r -o= m o ❑Insured Mail ❑C.O.D. <br /> n mmo I 4. Restricted Delivery?( Fee)o 3o ❑Yes <br /> " `t o_ n m 2. Article Number <br /> 8 0 d m <br /> Mansfer from service Afto 7 011 1570 0002 1521 0894 <br /> L N' m PS Form 3811,February 2004 Domestic Return Receipt 102595 oz-M-fSao <br /> z <br /> O M ❑❑ w M rn <br /> < COMPLETE THIS SECTION ON DELIVERY <br /> r3 co <br /> o ■ Complete Items 1,2,and 3.Also complete <br /> A. re <br /> g g Item 4 if Restricted Delivery Is desired. X fO Agent <br /> z rv. v ■ Print your name and address on the reverseA Addressee <br /> SO that we Clan return the card to you. Received by(Pri ame) C. Date of Delivery <br /> ❑ �❑ Z C n ■ Attach this card to the back of the mailpiece, l/ <br /> or on the front If space permits. !o <br /> n n a D. Is delivery address diffe ❑Yes <br /> c • 1. Article Addressed to: N <br /> 0 0 3 If YES,enter delivery s below: `la No <br /> tart <br /> f <br /> 70 Q ��6 Z <br /> Ln w• �_ n W �9 3 <br /> S o �' Dolores L French { <br /> El 110 ❑ 6600 County Road 26 n <br /> s o m 2- m Longmont, CO 80504-9527 3. Se Type A <br /> a < fa Certified Mall ❑Express Mall <br /> Q ❑Registered elietum Receipt for Merchandise fV <br /> ❑Insured Mail ❑C.O.D. 0 0\0 <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes I-+ N <br /> I N <br /> 2. Article <br /> ut,mserrlcelabeq 7011 1570 0002 1521 0924 v <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br />