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� E <br /> Ln <br /> LONGMQNT ip GO E05O4 « <br /> p <br /> r- T�m'.Wd arts 3.50 - 0158 <br /> `3 S. s a T Y G II <br /> ..+r G7 e 11 �rvtu^s Y.r6ji ti,.6L�tWf;.aC�hv^d� .xh;J , �+• 4 <br /> .,,, ......,....�..,.� rg r-I <br /> ",�„",�.,�,,�.., p � xraaca�uliumxdm;.t��1 s- # + ►df a L�' c�. <br /> ou; qo 1 <br /> fr1 m lz-}�4ro1 ricss;,�pe,and cos ��.......__..,r�. <br /> - ,.I <br /> Shana W Deter and Elijah Z. - <br /> j - Stephenson <br /> 7512 County Road 26 <br /> r <br /> Longmont,Co 80544 <br /> t <br /> 1 <br /> . 1 <br /> ! ! A.9+gnarore _ '"� [�Agent <br /> ! completerterns 1,2.and 3- fl - <br /> a Print Yoe''rams and address on reverse <br /> C.Date cat DORY ry <br /> so we can return the card tD yca• B.Received by{P tpd } <br /> a Roach this caa!to the k cf the rrta piece, � 1? p yes <br /> rrrsita. D.�s 1 lKetrt� fl <br /> a�ont i+staaGB Re dd6iva7(ad <br /> tf <br /> tt. r <br /> Sham M, Deter and lila:n Z. 11 <br /> Stephenson <br /> 7512 County Road 26 f <br /> Longmont,Go 80504 <br /> {J Pnoitty k'fotl f <br /> ( M 7 D AcWK sca eelaewwery n <br /> wROOSW <br /> eak r <br /> (ti" zV WAVY Y • Rat,"BWW fOt <br /> 959 ��0? 1 ,13(So ;3 3;:323 g 13 Coed�ea1� �� OnTM <br /> 13oakactonoe8ulry ast�r+atUroC°" <br /> p C,o9oct on Doliuery ftsuicWd DetWOT C,81gna>w�Cat M>$t on <br /> 2, Aructo Number{rransler from SenrtCe WOO5 O t wIae Rwt"`a° D®Uv�Y Restc�cted ors <br /> — 71116 1379 0001 <br /> ' p�,7© �nerS <br /> ppmestic ytetum Rocp't 9 <br /> F July 2015 P5N 7530-02-t)00-90'S3 DomCstCc Fiohun Receipt. <br /> PS Form 3811, __t <br />