PERMFILE121647

• Permit No: M2003024
• IBM Index Class Name: Permit File
• Doc Date: 5/1/2003
• Doc Name: Return Receipts for Notices
• From: Phillips County
• To: DMG
• Media Type: D
• Archive: No

~' SENDER:
I o Complete Items 1 anNOr 2 for additional eerwcea.
?r .Complete items 3, 4a, end Ob.
1 ~ •Pdnt yow name and address on the reverse of this form so that we can slum this
d card to you.
~ •Adach Chia lann to the front of the mailpiece, or on the bade if apace does nd
m
i m •Wri e~)Rerum Receipt Requested' on the mailpiece below the anicle number.
I ~ •The Retum Receipt will show to whom the snide was tlelivered end the date
• ~ delivered.
3. Article Addressed to: 4a. Article h
d
5 M` SHERMAN KOONT7. 4b. Service
EO 0~[ 2 1015
I also wish to receive the
following services (for an
1. ^ Addressee's Address •2
2. ^ RestdctedDetivery n RECEIVED
Consult postmaster for fee.
m
• ~ P O B 7 ^ Registered
!;n,J..NASHVIL)':E TN 37?.27-1015 ^ ExpressMail
¢ J ^ Retum Receipt for
and lee is paid)
MAY 0 1 2003

D~ision of Minerals and Ge
^ Cenlfied ,
^ Insured 5
^ COD
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requested ~

F
g s. sign ure: (addressee orngenq
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Ps Form 3811, ec9mber tssa Domestic Return Receipt

m SENDER:
9 .Complete items 1 and/or 2 ror additional services.
` 18150 WISh 10 reCe(V9 the
m .Complete items 3, 4a, antl 4b. fOIIOWing SBfVICe3 (fOf en
~ • Print your name and address on the reverse of this tarts so (hat we can return this exlr8 189):
card to you.
j •Adech this farm to Iha front or the mailpiece, or on the bade if space does not m
f . ^ Addr9S589'S AddreSS ~
m Permit. m
y •Wnta'Rerum Receipt Requesred'on the mailpiece belowtheenicle number 2.^R9StriCfed O9liVery y
$ •The Retum Receipt will show to whom the snide was delivered and the date
~ delivered. Consult postmaster for fee. °'
3. Article Addressed to: 4a. Article Number $
STOUT, C & B TRUST
° 7000 0520 0021 5541 9933 c
~
E 601 E. CARNAHAN ST 4b. Service T e
yp ;

° HOLYOKE, CO 80734-1757 ,
^ Registered ^ Certiti9d ~
^ Express Mail ^ Insured 5

¢ a
%7 Retum Ret~ipt for Merl~anlrise ^ COD
o
G 7. Date of D91i`e{y

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a
5. Received By: (Pdnt Name) B. Addressee's Address (Only i(requested ~
~ and lee is paid)
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F-
~ 6. signature: (Addressee or Agent)
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- PS Form 3811, December fssa Domestic Return Receipt
-- .. - ~
SENDER:

.Complete Items 1 andor 2 for atlditional services. I also wish to receive the
a .Complete items 3.Ia, end <b. fOIIOWIng SBrVIC9S (for an
Ny • Prim your name and address on the reverse of this Conn so that we can return this extra fee):
card to you
y .Attach this torts to the troll ar the mailpiece, or on the bade it space dose not
f . ^ AddreSS99'3 AddreSS
m pemut. i!
y •Wnle'Retum Receipt Requesred'on the mailpiece below theanicle number. 2.^R9stricted D9liVery y
Lr •The Return Receipt will show to whom the aside was delivaretl and the date
c delivered. DOOSUIt pOStmaS2er for f90.
~ 3. Article Addressed to: 4a. Article Number d
o
DELVIN & SHIRLEY CLAYMON 7000 oSZO oOZ/ s'SZG/ g9L4 c
,
E 36521 CR 51 ab. Service Type d
AMHERST CO 80721-9740 ^ Registered '~.. Certified ~
^ Express Mail ^ Insured ~
^ Return Receipt for Merchantfise ^ COD
o
~ 7. Date of Delivery

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5. Received By: (Pdnt Ne ) 8. Addressee's Address (Only ll requested ~
w ~ ~ I ~~ ~~ ~h1 uri and /ee is paid) t
l-
~ 6. Si
gnature: (A es5ee ar Age )
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