Laserfiche WebLink
<br />O r. _ • r. <br />~ _ _ lam' <br />Rl ,~~~:~ ~ ~"~~, ,E t <br />~ rn-';rrc ~ ~r c -~ u*-.~ <br />'~ Pottage s G. ~ LG TT ID: G641 <br />~ Lertife F6e ~IHI: iJ h ~"y <br />tt <br />° Retum Reciept ea ~ Postmark <br />° (Endorsemem Requl ) 1 ~ Here <br />O Resin<ted Delivery Fee CJ CIErn':: t}H~QJ~: <br />.-3 (EnocrsementRequiretl) U9P <br />° <br />'~ Tolal Postage 8 Fees ~ 4.42 C3; G5: G4 <br />Om Sent ro WALTER GAGE GILLIAM <br />° -.- KATHLEEN GRACE GILLIAM <br />M1 $vee( Apt Na.; <br />erPO ecaNp. 9684 W COUNTY RD. 7 N <br />cAy, Sare, z~n.a DEL NORTE, CO 81132 <br />^ Complete Items 1, 2, and 3. Also complete <br />Item 4 ii Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, - <br />or on the front if space permits. <br />~ ' ~ ~ ~- 1. Article Adtlressetl to: <br />WALTER GAGE GILLIAM <br />KATHLEEN GRACE GILLIAM <br />9684 W COUNTY RD. 7 N <br />DEL NORTE, CO 81132 <br />A Signature <br />I <br />^ Agent ) <br />8. Received by (Pr(nted Name) C. Date of Delivery 1 <br />3 $ o tf <br />D. Is delivery address diNerent from kem 17 ^ Yes . ~~ <br />If YES, enter delivery.address belovr. ^ No <br />i <br />3. SeMce Typa 1 <br />^ Certifietl Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Deliver7R (Extra Fee) ^ Yes , <br />2. AnicleNUmber 703 1010 0002 1363 5051 <br />(riansferfrom serv/ce IabeQ I <br />PS Form 3811, August 2001 Domestic Return Receipt ~~>..__;-p 10259502-M4540 <br />