Laserfiche WebLink
Re~eeved <br />~~~ 23Zc7fl~a <br />DDS/dry Ofe'/l~rFlEfd (ja~~ <br />~, ~~y o6~ <br />~~ <br />CERTIFIED MAIL.M RECEIPT <br />(Domestic Mail Only; No /assurance Coverage PrOVidedj <br />R' <br />'~ II~(~~1~ ~ t1 <br /> <br />Iv <br />Postage <br />s 0. <br />r <br />p Certlged Fee <br />p <br />z <br />26 <br />p ,~dora~ eR ~~'t ~, 1. 2004 <br />p fleslrRted Delivery Fee <br />-D lerkoraement Required) <br />IlJ <br />ru .fatal Paatege a Fem. ~ 4.42 10/28104 <br />m RUYBAL, THOMAS &BENITA SUE <br />p Sent ro <br />p 6584 CR 321 <br />N "s4reei Aai N'di' IGNACIO, CO 81137 <br />w Poear Na <br />Gb. sieie, aa:: <br />___ i <br />d SENDER: <br />p Complete items 1 anNor 2 for additiorW services. I also wish to receive the <br />m •Complete Rems 3, 4a, and 4D. }DIIDWIng SB/VIC85 (fOr 8n <br />d • Print your name arq address on the reverse of this form sc that we can return this extra fee): <br /> <br />j wrd to you. <br />•Attach mis form to the front of the mailpiece, or on the Dackrf space does not <br />t. ^ Addfessea's Addfe55 V <br /> <br />Z <br />d <br />y permit. <br />•Wdte'Retum Receipt Requeated'on tha mailpiece below the snide number. 2. ^ Restricted Delivery y <br />t •The Return Receipt will show to whom the artide was delivered and tae date <br /> delivered. Consult postmaster fOf feD. ~' <br />C <br />O W <br />v 3. Article Addressed to: 4a. Article Number m <br />d BENITA SUE <br />RUYBAL <br />THOMAS & ~C~3 ~J{yD DDD'~ ~~ ~ <br /> . <br />, <br /> 4b. Service Type <br />0 5584 CR 321 <br />u ^ Registered ^ Certified <br /> <br />rn lGNAC[O, CO 8l 137 ~ <br />^ Express Mail ^ Insured c <br /> r-~ <br />/~ <br />O m <br />^ Return Receipt for Merchandise ^ COD <br />a y~ <br />.g, Jd 7. Date of 9elivery <br /> <br />~ 5: Received By: (Print Namej ~- t % '8. Address e's Address (Only i/requested ~ <br /> -.. _ ..._.. ~ ~ ~. and /eA"Y paid) c <br /> <br />~ ~ &~.$igp~ure:-~tVddress oE..4gent ~ !© d <br />:~4 P.!~._. <br />._ ~' f - f <br />i <br />` O 6 JCS <br />. <br />. <br />___ <br />Ps Form 3811, Decemb r ~ssa Domestic Return Receipt <br />