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<br /> � � � ■ Cornplete iterns 1.2,and 3. H. s.�rr;,t��r:
<br /> � +'• ' � � ■ Print your name and address on the reverse ❑Agent
<br /> �, x � �'�.s
<br /> � : , ; , . -. - � • so that we can return the card to you. ��� � �dressee
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<br /> m ; ������on� �� g��j� » ., � t _ ■ Attach this card to the back of the mailpiece, B• '�+.�d-bY(Printed Neme) C. Date of Dei�very
<br /> � ° ____ ____ _ _— or on the hont if space permits. ��( (��' ��. ,j Z
<br /> �_ � � 02�37 -- ��
<br /> � c�*+�eed r j.����� 3�.6� �9 — _ D. Is delivery address different from item 17 ❑Yes
<br /> Q' • � •• • If YES,enter delivery address below: -B-tQo
<br /> fTl S"�'ervwes�Faes(cneGcrw> 'r�� !� 1a�r .. Me�ia Francia
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<br /> o ���� rii� , " ~�;�,��e k 6 3� �oun ty Roa d 2 3 %
<br /> o ���"'�°'"�`�''`"°"°�"' ' x���y`-- ' Brighton, Colorado 80603-9200
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<br /> � [�Adult Slgnati h., i t�i 6iHi�..+•�S____
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<br /> � �F�---- - -. -�� n3/26/2C�-1 I!I IIIII)IIII�II I II III IlIIII)I �I!)IIt �I���I I�I , 3. Service TYPB ❑Prioriry Ma�l Express�
<br /> r-9 f 7.�1(� � ❑Adult Signature ❑Reglstered Ma13Tm
<br /> S _ __ _.._�___._-. ❑Aclult Sk,�naWre Restricted Delivery ❑Regisfered Meil Restdcted
<br /> � Sont To , - ❑Certified Matl� Delivery
<br /> � - - -- Jaimr Me�ia Pranc�a --_-------------•-� 9590 9402 5029 9063 0479 68 ❑Certlfied Mait ResVfcted D88very ❑aewm a��s�
<br /> p �sireet an6Apr 636 Counry Road 23'h
<br /> . - ---------- L7 Coilect on Delivery Merchan0ise
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<br /> ���_�,�,�I Bnghlon,Colurado 80603-9200 very Restricted Delivery �Signature Contirmetlon*" (
<br /> 7 018 1,13 0 ��01 3 916 3 5 5 8 ❑Rlestrfcted Deilvery t�
<br /> eshicted Delivery �
<br /> - i l�'er'Souu) �
<br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt +�
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<br /> � � ` I � I I � � 'a: J.. l._ '.7-
<br /> � � � � � A. S�g�t;ttti,e `
<br /> ■ Complete items 1,2,and 3. !
<br /> ` �- Agent
<br /> � � � ■ Print your name and address on the reverse X �qddressee ;
<br /> ;;
<br /> � � • � • • °� �' ' so that we can return the card to you.
<br /> m . _.__...__
<br /> �Lctv?1�i nd� CO °v�e37 R Attach this card to the back of the mai�pieCe, B• R ved by(Pnnted Name) C. Date of Oelivery
<br /> ,.t� __ --- -. - - -- — �� or on the front if space permits.
<br /> � CH, .� .�. ...- _... .__ __.._. ____ ._ ..._.�.�.._�.._ __ ..
<br /> Q., � �3.61� �_ ------��i�7 0. �s de�ivery address differer,t rrom item�1 �ves
<br /> 'S l�9 Petersor� �:��er O eratin �t1C. If YES,entetdelive address below: ❑No
<br /> m i t�a N��sr-�s��*;.:<v%.�a. ,,._ �.� gY P g 'Y
<br /> � o�^'�'°`�°�'' �- � ��r��n—� Attn: Ryan Dornbos
<br /> � ; �R�ann Raedv!(dseuoNc) � �1J.tiv— ' .�stinei�;�.
<br /> O � 7�«y�°��0°°�•�p°�""y � sR��F� _i '�>HP-�� 497 Denver Avenue
<br /> � � `�naw�s����c�,ro�w:ed s
<br /> � ! �___ _ �'�r� -_� „�'. Loveland, Colorado 80537-5129
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<br /> � oON�oda9e and S��11(7� _ li"I�I'I I'�I 'I I(I��I I(I�I��I ��I I'�I II (�'�I 3. Service Type O Priaity Maii TExPress�
<br /> � I i ❑Adult Signature ❑Reglstered MaG
<br /> __ _ _ --
<br /> _ -- ❑Aduft 3i9nature Restricted Delivery ❑Registered MaN Reatrided
<br /> `� �70 �� Peterson Energy Operating inc. -•-•--_-_._.. � O CertifledMail� Deliv�y
<br /> � 9590 9402 5029 9063 0479 20 ❑c�cn�a Ma�i R�v��c�a o�nrery ❑R��,a�+,�r�►
<br /> p Sireetariv;�r 497[�nver Avenue
<br /> N 4 Lov�land,Colarado 80531-5129 .. Q Collect on Delivery Merchandise
<br /> ` ' .--•----------------- - ' .... r r.�i��,,., ry ry ❑Si natureConflrmetfonT'� '
<br /> ILSry,3Yih.71P " . . . .� . ,� • ��� . f0eiive Restricted Delive G��ture Confirmatbn
<br /> 7�18 Z 13 0 Q 0 01 3 91 b 3 8 9 3 il Restricted Delivery Ra�ri���u�v
<br /> :.� .� 1 toveraow�
<br /> Ps Form 3811,July 2015 PSN 7530-02-000-9053 Domestfc Return Receipt �;
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