2006-08-04_REVISION - M1982015

• Permit No: M1982015
• IBM Index Class Name: Revision
• Doc Date: 8/4/2006
• Doc Name: Certified Return Receipts for Notification Letters
• From: Muerer
• To: DRMS
• Type & Sequence: AM1
• Media Type: D
• Archive: No

^ Complete items 1, 2, and 3. Also complete
Rem 4'rf Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permts.
1. Article Adtlressetl to: fit`
Maclovio and Francisco ne~
12632 E Frontage Rd ~T
Longmont, CO 80504 ~nr
•,
a
^ Agent
B. ReceNed Dy (Wln[ed Name) C. Date of De ivery
ccoU/o ~/"/,r/..en~ a ~~ a
D. Is delivery address different from hem 77 ^ Yes
If YES, enter delivery adtlress below: ^ No
~(' jC~-Certified Mall ^ Ezprass Mall
^ Registemd ~.Retum Receipt for Merchandise
^ Insuratl Mail ^ C.O.D.
4. Restricted Delivery? (EMra Feel ^ Yes
,,,.7>'Artiae~nudigz~r. `"~, ta>PV-~.y 't,f-cr °'~i1~5 3210 0004 4399 2228
~s!'7Tisnsfar Irom serv/ce label)
FOrrn;~~, ~b~r fa~ `~1~~~Q Domestic RBtum Receipt tous5-02-M-t500

^ Complete items 7, 2, and 3. Also complete A Signature
Rem 4 if Restdded Delivery is desired. , ~ Agent
^ Print your name and address on the reverse 1~W ^ Addressee
so that we Can return the card to you. g, Re fed Name) C. Date of Delivery
^ Attach this card to the back of the mailpiec ,

or on the front if space permits _
' ~
. k 17 Yes
D. Is tlelNery address diRereM fmm
em
1. Article Adtlressed to: enter delivery address below: ^ No
If YES
,
~ Leland S and Julee Jean Ridnour
,~ 4961 WCR 24 3/4
Longmotx
CO 80504
,
3. Service Type
~
A 49-CertMled Mail ^ Express Mall
__ _ _
_
__ _ _ ^ Reglstere0 .~Retum Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Resalcted Delivery? (Extra Fee) ^ Yes
2. ArticleNUmber 7pp5 311 X004 4399 2192
(Tians/er /rom seMCe label)
PS Form 3811, February 2004 Domestic Retum Receipt tozsss-oz-n+-tsao
`_ _ _ ~+