Laserfiche WebLink
<br />+9ENOER: Compl•u It•ma 1 Mtl 2 wMn •dtlitlonN wrvias n• dwir•d, mtl s•mp•n it•ma 3 <br />and A, <br />Put Your eddroa• in 'RETURN TO" Spac• on the r•varsa sld•. F•Ilure t MI• erlll'Nwnt tMa <br />card from b•In9 remlrr6tl to you <br />u 1 r <br />, <br />1 h attdl t ( • ollow n0 wMCaa sr• av11•bl•. Conea t <br />prntm r ria•a and chazlrp ~ldtlWbpa{p Ic.•h1 r•quWrod. <br />1. j1i Showto whom dutvar+d data, alFd addnu•va• ex. 2. O R•etricsed Delivery <br />T (6xrra charge)i S{E~:sro ohar8e)t <br />3, Artiele Adtlressed to: r 4. Article Number <br />r <br /> <br />M <br />Ch <br />l <br />R <br />li <br />P 666 579 189 <br />ar <br />es <br />ee <br />ng <br />r. T <br />f <br /> <br />P.0- BoX 36~ ~~ "k:~ ype o <br />Service: <br />^ ReDistered ^ Insured <br />516 E. Virginia ~~~ ~i FCl Cartifi~ O coo <br />^ <br />La Veta, CO 81055 Expres Marl <br /> AlwaVS obta'm signature of addressee: <br /> or agent end DATE DELIVERED. <br />5. i nature -Addressee 8. Addressee's Address (ONLY if <br /> requested and fee Hard) <br />6. igneture Dent <br />X <br />7. Date of De ~ Q W~ <br />DS Fprm 3577, Mar. 1987 t uscvo. 29ernasep DOMESTIC RETURN RECENvr <br />LDO M-91-081 <br />P 666 579 189 <br />Certified Mail Receipt <br />t'7 No Insurance Coverage Provided <br />G ~ Do not use for International Mail <br />O "^me: ; (See Reverse) <br />C <br />~ Sent to <br />Q Mr. Charles #Ce~,ling <br /> <br /> SUpel a No. <br />`y P.0. Box 36.1/516 <br />'' E. Virgini <br />~ P.O.SIate6ZIPC i <br /> La Vet <br />CO?' 81055 <br />0 , <br /> PoStAQe :.vi <br /> <br />r- <br />N cen~rea Fee G <br /> <br />is Special De e <br /> <br />~' Reslric~ee Fee <br />t!. <br /> Ratum Rece~p <br />r.m to Whom a Darg <br />~~ <br /> ReWrn Receipt Sh n <br /> Data. a Aoeress of Delivery <br />7a TOrAL Pos1a9e Q M <br />~ <br /> 8 Fees ePel <br />/ <br />m Postmark or Dala <br /> <br />~E <br /> <br />ern <br />-a <br />3 <br />u <br />