2017-03-06_PERMIT FILE - M2016075

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COMPLETE • i SENDER: ■ Complete items 1,2,and 3. A. Signature ■ Complete items 1,2,and 3. A you. 4 e ■ Print your name and address on the reverse ❑Agent /i Agent X ��y�jn ■ Print your name and address on the reverse g so that we can return the card to ❑Addressee X y B. Received by(Printed Name) C. Date of Delivery so that we can return the card to you. ❑Addre- or on the front if space permits. ■ Attach this card to the back the mailpiece, ■ Attach this card to the back of the mailpiece, B. Div& b ' tet .e) ( Date of e/ t �`Z-� or on the front if space permits. 7 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes 1.Article Addressed to: D. Is delivery addres different from item 1? Yes i If YES,enter delivery address below: ❑No If YES,enter deli ery address below: ❑No Simon Farms Fort Worth Royalty Co. 18500 County"Rd. 30.5 1315 W 10th St. Stratton, CO 80836 Fort Worth, TX 76102 3. Service Type ❑Priority Mail Express® 3. Service Type ❑Priority Mail Express II I IIIIII I'll lII I ll II IIII IIIIII ll i I I IIII ❑Adult Signature ❑Registered MaIITM II I Ill Il I'll III I II Il I IIIIIIIIIII I II I I I I I ❑Adult Signature ❑Registered MaiIT"' ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted Adult signature Restricted Delivery ❑Reeggistered Mail Rest Certified Mail® Delivery Certified Mtil® Dellvery 9590 9402 1644 6053 5435 11 Certified Mail Restricted Delivery C{Retum Receipt for 9590 9402 1644 6053 5434 98cettifiea Mall Restricted Delivery Ip(Retum Receipt for ❑Collect on Delivery Merchandise 2. Article Number ransfer from se�tticeJaheD- _ ❑Collect on Delivery Restricted Delivery 19 Signature Confirmation^" ❑Collect on Delivery Merchandise --�--m- ❑Collect on Delivery Restricted Delivery Signature Confirmati isured Mail ❑Signature Confirmation —�Ar#icleslumber_�CansfeLfrORLseNi�iabe� __,- —ved Mall Signature Confirmatl 7 01,5 0640 0007 9638 9641 �sured Mail Restricted Delivery Restricted Delivery 7 015 0640 0 0 0 7 9 6 3$ 9 6 6 5�_ ver$500) fired Mail Restricted Delivery Restricted Delivery �r$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Rea COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY SENDER: COMPLETE THIS SECTION ■ Complete items 1,2,and 3. A Signature ■ Complete items 1,2,and 3. A. Signature ■ Print your name and address on the reverse ❑ gent Agent ■ Print your name and address on the reverse ❑A are; so that we can return the card to you. ❑Addressee so that we can return the card to you. ■ Attach this card to•the back of the mailpiece, B. Received by(Panted N e t D I- ■ Attach this card to the back of the mailpiece, B.MCA.\./ y anted Name) C. of li or on the front if space permits. —v l or on the front if space permits. 1. Article Addressed to: D. is delivery address efferent from item 1? ❑Yes I Articte-Addressedfo D. Is delivery address a different from item 1? Yes If YES,enter delivery ddress below: No Norma Ann Hill Trust If YES,enter delivery address below: ❑No Albert E Williams , I C/O John Scott Jolly Trustee 281 Riker Ct. r;, 1504 Cherry St. Loveland, CO 805ii7' Goodland, KS 67735 3. Service Type ❑Priority Mail Express II I IIIIII IIII II I ll II I IIIIIIIIIII II I I I 3. Service Type ❑Priority Mall Express® II I IIIIII IIII III I II II I IIIIIIillll I I II I IIII I Ill [3 Adult Signature ❑Registered lall ll IIII El Adult Signature ❑Registered MaIIT"� [3 Adult Signature Restricted Delivery ❑Registered Mail Res Adult Signature Restricted Delivery Cl Registered Mail Restricted Certfied Mall® Delivery Certified Mail® De very 9590 9402 1644 6053 5434 29 9590 9402 1644 6053 5435 35 ❑Certified Mall Restricted Delivery Bf Retum Receipt for ❑Certified Mail Restricted Delivery h(Retum Receipt for ❑Collect on Delivery Merchandise 0 Collect on Delivery Merchandise ❑Collect on Delivery Restricted Delivery KSlgnature Conflrmal 2. ArtiClehlumhel_IT[aRsferlmm-seroceJahell__-- - Collect on Delivery Restricted Delivery VfSignature ConfirmationTm 2—Article_Numbe (Transfer from service label ____-_ Insured Mall ❑Signature confirnai Insured Mall ❑Signature Confirmation 015 0640 0007 9638 9 610 2 Insured Mall Restricted Delivery Restricted Delivery 7 015 0640 0007 9638 9733 Insured Mail Restricted Delivery Restricted Delivery (over$500) lover$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I, Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Rec