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

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^ Compfete items 1, 2, and 3. Afso 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 Adtlressed to:
MOLLY ANN ELLIOTT
379 HWY 52
ERIE, CO 8016
A Signature

X ^ Agent
^ Addressee ~
B. Received by (Pooled Name) C. Data of Delivery
D. Is delivery address different from item 17 ^ Yes ~
S `;\
f
If YES, enter tlelivery address below: ^ No AD `~
=~ ~
~ t
' ~ ' a
~~
~

3. Service Type
I ,
ti~(1
' 1 ~
Certified Mail ^ Express Mail
~
Registeretl ^ Return Receipt for Merchandise I
^ Insured Mail ^ C.O.D. ~ '
4. Restricted Delivery? tExtre Fee) ^ Yes i
2. ArticleNUmber 7002 oa6o 003 4827 6304
(rransrerlrom service label) I
PS Farm 3$11, AUgusi 2001 Domestic Return Receipt 102595-02-M-2560
^ 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. A Signature ,
^ Agene
X ^ Addressee
8. Aeceived by (Panted Name) C. Date of Delivery

•
•
^ V

~ t. Article Addressed to: es
D. Is delivery address diffeent from item 17
It YES, enter delivery address below: ^ No
\
.` 1
RICHARD G BULTHAUP
J 2780 W 149 AVE
/ BROOMFIELD, CO 80020
3. S rvice Type ,
~ertified Mail ^ Fxpress Mail ,~
^ Registered ^ Return Receipt for Merchandise i
^ Insured Mail ^ C.O.D.
4. Restrictetl Delivery? (Extra Fee) ^ yes
2. Article Number
(fmnsler )mm service /abeq 702 [)860 0003 4827 6267
PS Form 3$11, August 2001 Domestic Return Receipt to25a5-oaM-tsao ' r

^ Complete items 1, 2, and 3. Also complete A. Signature
~
item 4 if Restricted Delivery is desired. ~
X ^ Agent
^ Print your name and address on the reverse ^ Addressee ~,
so that we can return the card to you. 8. Received by (Panted Name) C. Data of Delivery !
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 17 ^ Yes
~\ 1. Article Adtlressed to: @ VES, enter delivery adtlress below: ^ No ~'
't :;~ DAVID J SMOLJAN
)
'' 556 WELD CO ROAD 16 1/2 !
~
LONGMONT, CO 80504
3. Se ice Type
-6ertilred Ma71 ^ Express Mail
^ Registered ^ Aeturn Receipt for Merchandise ~.
^ Insured Mail ^ C.O.D.
A Resirirtted Delivervl !Extra Fee) ^ Yes '•