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• <br />Z 217 446 333 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for,lntemational Mail (See re <br />Edith Jean Chavers <br />s 12367 Weld County Road 8 <br />Fort Lupton, Colorado 80621 <br /> Posrape S ~ <br />,3.~ <br /> ~a~aad Fee ~. ~o <br /> Spedal Delivery Fee <br /> <br />N Restricted DeNvery Fae <br />~ Refum Receipt 5howinp Io <br />Wfnrtl8 Dare Delivered ~ ' ~,~ <br />~ TOTAL Posfepe 8 Fees S ,~ / <br />~ Posbnerk or Dare <br />N `1~ -- 13 <br />a <br />~ Z 217 446 344 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />Do not use for International Mail (See re <br />Stephan Brancucci <br />9954 West SSth Place <br />Arvada, Colorado 80005 <br />Postage ~ ~ 7nZ i <br />CertlNed Fae <br />Spedal Delivery Fee <br />Resldped Delivery Fea <br />m Refum Recetpl Showing <br />un~,.., x n~~. n.s.:.... <br />s <br /> <br />LL <br />rn <br />a <br />~9-13~ <br />• <br />SENDER: I also wish to receive the <br />• Complete hems t anNOr 2 for additional services IOllOwing SeNICee (fer an <br />• Complete items 3. 4a, and 4b. <br />• Pdnl your name and address on the reverse of tMS form so Thar we can return 1MS eXifa fee): <br />card to you. <br />• Adach this rorm to the (rent of the mailpiece, or on the back A space does not <br />t. ^ Addressee's Address <br />permit. <br />• Wme 'Refum Recerpl Requesfed'on the mailpiece below the adicle number. <br />2. ^ R251riCted DeVery <br />~ delrvemltl n Receipt wJl show to whom the enicle was deLvered end the tlale Consult postmaster for fee. <br />Edith Jean Chavers <br />12367 Weld County Road 8 <br />Fort Lupton, Colorado 80621 <br />r r1. ~~ \ <br />5. ~ceived Rg:, fPrirl(Name) <br />6. 3jgr~a Addressee or Agent) <br />L ~„ rr~, ,,,~ <br />4b. Service Type ~ <br />~ <br /> <br />^ RegisteredCertified ( <br />^ Express Mail ^ Insured ~ I <br />^ Return Receipt for Merchandise ^ COD ~ <br />7. Da~of <br />// ~(/ <br />o <br />6. Addressee's Ad ress (Only~equesfed ~ <br />and lee is paid) ~ <br /> t <br />r <br />m 22 <br />~`~~~~Q ~~ ~ ~~.1~ <br />PS Form 3811, December 1994 <br />ssse.e-o229 Domestic Return Receipt <br />SENDER: I also wish to receive the <br />~ • Complete items 1 and/or 21or atltlitional services <br />i f0110'Ning eervlCee (for an <br />.Complete items 3, 4a, en0 ab. <br />~ • Pnnt your name and addmss on the reverse of this Corm so that we ran return this <br />extra fee): <br />t card to you <br />~ • Attach mis rorm to the wont or the mailpiece, or on the back d space does not <br />1. ^ Addressee's Address u <br /> <br />t <br />' peNiM~ <br />' • Write 'Refum Receipt Requesred'on the mailpiece below the emus number 2. ^ Restdcted Delive <br />rY r~ <br />• The Return Receipt will show to whom the aniGe was delivered and the dale <br />Consult postmaster for fee. <br />ti <br />delvered. <br />i 3. Ankle Addressed to: 4a. Article Number _ u <br />Stephan Brancucci <br />9954 West 85th Place <br />Arvada, Colorado 80003 <br />5. <br />PS Form 3811, December 1994 <br /> c <br /> 4b. Service T Q ~ <br /> ^ Regrstere O ~ co ~~ nitied <br /> ^ Express 6 u-N c` sured ~ <br /> ^ Return Recei I® chandis ^ OD ~ <br /> 7. Date of Delive f/tI <br /> 0 <br /> 8. Addressee's Address (Only it requested Y <br /> and !ee is paid) ai <br /> f <br /> <br /> z- z~-cx~ ~"~-~.3h ~ <br />102595-9B-e-0229 Domestic Return Receipt <br />