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COMPLETE,SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1 2 and 3. A. Signature Si na r <br /> p f� ■ Complete items 1,2,and 3. 9 <br /> ■ Print our name and address on the reverse ��dl ❑Agent <br /> Y XK ■ Print your name and address on the reverse - ❑Agent <br /> so that we can return the card to you. ❑Addressee X r <br /> Y so that we can return the card to you. A/J ❑Address <br /> ■ Attach this card to the back of the mail piece, B. Received by(Printed Name C. Date of Delivery B. Received by(Printe a C. ate of Del'p r ■ Attach this card to the back of the mailpiece, } ./ <br /> or on the front if space permits. 2 U e or on the front if space permits. ( G�f1G' 1( <br /> 1. Article Addressed to: D. Is delivery address different from• m 1 ❑Yes 1. Article Addressed to: D. Is delivery address differetft.ffom item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No - <br /> If YES,enter delivery address below: ❑No <br /> Jay R&Diana L Jolly <br /> Richard C Lange ei <br /> 2041/2 Chipeta Pines Ct. Mineral Venture LLLP <br /> Grand Junction, CO 81503 31-111 County Rd 23 <br /> j ' Hugo, CO 80821 <br /> II I IIIIII IIII II I II II I IIIIIIIIIII I IIII I III I 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Expressfa❑Adult Signature El Registered ❑Registered Mallw Adult Signature Registered MaIITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted IIIIII ❑II III II(IIII III I IIII I a III III III <br /> ❑ <br /> Certified Mall® Delivery Adult Signature Restricted Delivery R letered Mall Restri <br /> Certified Mall® <br /> 9590 9402 1644 6053 5435 42 go Certified Mail Restricted Delivery I¢Retum Race � <br /> ❑Collect on Delivery Marchand 9590 9402 1644 6053 5435 66 Certified Mall Restricted Delivery Return Recelptfor <br /> 2. Article NUmbeP ransfer from service labe ❑Collect on Delivery Restricted Delivery �IOSignatu IonT^+ ❑Collect On Delivery Merchandise <br /> >ured Mail ❑Signatu tion —2 �'cl e-NirmBerllransferfromsamice-kbi ____ ❑_Collect on Delivery Restricted Delivery $+Signature Confirmatio <br /> Restricted Delf sured Mail ❑Signature Confirmatio <br /> 7 015 0640 0 0 0 7 9638 -itil0 3 )ured Mall Restricted Delivery 7 015 0 6 4 0 0 0 0 7 9638 9580 sured$ 0�ll Restricted Delivery Restricted Delivery <br /> -rer$500 _ <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 d estic Return RPM•- A PS Form 3811,July 2015 PSN 7530-02-000-9053 Do=fteturn Rece <br /> ro <br /> :1 .ER: COMPLETE THIS SECTION • • ON <br /> COMPLETE • ■ Complete items 1,2,and 3. A. Signa <br /> ❑Agent <br /> ■ Complete items 1,2,and 3. a�' tura � ■ Print your name and address on the reverse g <br /> ■ Print your name and address on the reverse ❑Agent so that we can return the card to you. Addresst <br /> so that we can return the card to you. / <br /> ❑Addressee B. R eived by(Printed erne) C. Date of Delive <br /> Y ■ Attach this card to the back of the mailpiece, �7 <br /> ■ Attach this card to the back of the mailpiece, Br-Received by(Printed Name) C. Date of Delivery _or on the front if space permits. <br /> or on the front if space permits. 1. Article Addressed to:_ _ D. Is delivery address different from item-1 2 K❑-•yes <br /> 1. Article Addressed to: D. Is delivery address different from Item 1? ❑Yes If YES,enter delivery ac rite s'below: ❑�No <br /> If YES,enter delivery address below: ❑No t <br /> Steven Brown Susan I Kern.St. S.Rev Trust <br /> 15 W. 13 <br /> 6466 W. Monticello Ave. Cheyenne Wells, CO 80810 <br /> Littleton, CO 80128 — <br /> 3. Service Type 4 ❑Priority <br /> II I IIIIII IIiI III I I I II III III I I II II I IIIIII IIII III I II II I IIIIIIIIIII I I II(IIII I Ili '❑ Msl,Fj re ss® <br /> 3. Service Type ❑Priority Mali Epress® ❑Adult Signature ❑Registered Mal� <br /> ❑Adult Signature Signature Restricted Delive ❑RT Da l trered MORestd,IIIII IN IIIIII ❑Adult Signature Restricted Delivery ❑Registered Mall Restricted Certified Mail® ey 9590 9403 0195 5120 1354 90 Certified Mail® Delivery 9590 9402 1644.6053 5435 59 ❑Coll ct on ailRestricted Delivery ig Return Receipt for <br /> ❑Certified Mall Restricted Delivery SC Return Receipt for Delivery 4_ Merch <br /> ❑C andise-- <br /> ❑Collect on Delivery Merchandise Collect on Delivery Restricted Delivery Signature Confirmatioi <br /> ❑Collect on Delivery Restricted Delivery %Signature ConflrmatlonT . 2. Article Number(transfer from service label) JainsurGd Mail El Signature Confirmatioi <br /> 2.�9rtrclelVumlier lTransfer_f[oLtt S�ryi�eJPU-- ❑Insured Mail ❑Signature Confirmation isured Mail Restricted Delivery Restricted Delivery <br /> 5 6 4 0 0 0 0 7 9 6 3 8 9 5 6 6 ❑Insured Mail Restricted Delivery Restricted Delivery 7 015 0 6 4 0 0 0 0 7 9 6 3 8 9 5 9 7 )ver$500) <br /> (over$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Recei <br /> Ps Form 3811,April 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />