PERMFILE113336

• Permit No: M2004009
• IBM Index Class Name: Permit File
• Doc Date: 4/29/2004
• Doc Name: Proof of Mailing
• From: WSI
• To: DMG
• Media Type: D
• Archive: No

^ Complete items t, 2, and 3. Also complete
item 4 if 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 permits.
t. Article Addressed to:
KATHERINE M CALVERT
1308 SO PRATT PARKWAY
LONGMONT, CO 80501
2. Article Number
(fiansfer /rom service /abeq 702 086 ~~03 4827 8599
PS FOnrl 3$11, August 2001 Domestic Return Receipt 102595-02-M-1540
^ Complete items 1, 2, and 3. Also complete
item 4 if 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 permits.
1. Article Addressed to
SMITH FAMILY TRUST
29 COLD HWY 52
LONGMONT, CO 80504
A. Signature
1 ^ Agent
B. Received~~~~~~llb111y"""""" (Pri d Name) l C. Date of
r~A 3 r-7J
D. Is tlelivery adtlress different from item 17 ^ Yes
It YES, enter delivery adtlress below: ^ No
3. SJerv-ice Type
~-tiertified Mail ^ Express Mail
O Registered ^ Return Receipt far Merohandise
Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Feel ^ yes
A Signature
.~ ~ ~ Agent
X( t~Z.% ~ 7 ' rt/-' ^ Adds
8. f3eceived by (Printed Name) C. Datp of Deli
15,_,, t j y 4~~
D. Is delivery address different from Rem 17 ^ Yes
It YES, enter delivery address below: ^ No
3. Service Type
~rtifietl Mail ^ 6cpmss Mail
^ Registered ^ Return Receipt FOr Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ yeq
2. ArticlaNumber 7002 0860 ~~03 4827 6250
(1ians/er /mm service /abed
Form 3811, August 2001 Domestic Return Receipt tozsssoz-M-tsao
^ Complete items 1, 2, and 3. Also complete
item 4 if 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 permits.
1. Article Addressed to
RUY HUWAKD
CITY OF BROOMFIELD
ONE DESCOMBES DR
BROOMFIELD, CO 80020
A Signatu(re~
X \ ~C.. ~ ~ ^ Agettt
t~, ti-- "~-- ^ Addr~
B. Received by,(Pdnted Name) I C. Date of Dell
l 1 aucl 10. ~e ~ ~ 15'c% t-y
D. Is delivery atldress different from Item 17 ^ Ves
tf YES, enter tlelivery address below: ^ No
3. Service Type
ertdied Mail ^ Express Mail
Registered ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Deliveryl (Extra Fee) ^ yes
2. Article Number
(rmnster rrom service tabs/) 7 0 0 2 0 8 6 0 0 () 3 4 8 2 7 8 5 4 4
PS Form 3811, August 2001 Domestic Return Receipt tozsss-oz-M-ts4o