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'CERTIFIED MAIL,;; RECEIF <br />1(Domesllc Wall Only; No /nsurance.COV,erdl <br />~~n <br />'- '" - `~- '~~ , a (t - 3i it - -= <br />~ ) ''~ ~.. '.:.> a ~£4s ~ c APIIEd( <br />~ Posrsge S ~ ~(Z~~g <br />p Certified Fee <br />p Retem Receept Fee <br />p Jd~a~"`~ 20Q~ <br />(Endorsement RegWred) <br />~ Rastdcted Delivery Fee -_ „ / <br />~ (Endorsement Required) '~~r/'/ <br />"' Total Postage a Fees $ (/g Q S <br />rLl <br />p Senr To <br />E;rea2cr-.?b.;---- I3EN FRANCISCOTTI _ <br />ar PO eax Na. 2723 COUNTY ROAD 613 <br />Clry Sfara, ZIW$ <br />WALSENBURG, CO 81089 <br /> <br />-- , . <br />- ^ Complete Items 1, 2, antl 3. Also complete <br />item 4 if 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 tf space permits. <br />1. Article Addressed to <br />BEN FRANCISCOTTI <br />2723 COUNTY ROAD 613 <br />WALSENBURG, CO 81089 <br />~ 4. Restdcted Delivery? (Ext2 Fee) ^ Yes <br />2. Article Number 7QQ2 3150 OOQO 0284 6431 <br />(fiansfer from service /abeQ <br />PS Form 3811,~August 2001 ~~ Domestic Return Receipt ~-~ "" '' to25vs-02-M-tsaoi <br />i <br />B. Receive;~by (Pooled Name) I C. Date of Delivery ~ <br />!I I <br />D. Is delivery address d'dferent tmm item 77 ^ Yes <br />It YES enter delvery address below. ^ No ~ <br />I, <br />I <br />3. Service Type ~ ' <br />^ Certited Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.O. <br />~F G.~. n <br />1-31- ~~ ~~n~ <br />