REP23652

• Permit No: M1977132
• IBM Index Class Name: Report
• Doc Date: 1/17/1995
• Doc Name: RECEIPT
• From: WENDY SANDOVAL
• To: CLAIRE L HORVELY
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

.SENDER: Complete items 1 entl 2 when adtlitlonsl services are desired, end complete items 3
end 4.
Put your etldress In the "RETURN TO" Space on the reverts side. Failure to do this will prevent this
cartl from being returned to you. Tha r turn rer:elpt fe will Drpvlda you the name of the person
tlallvered to entl the data of delivery. For additlonel teas the Toilowing +ervlces era evellebla. Consult
postme+ter for fees entl check box(wl for eddltione~SdrvlcetE) requaetetl.
1.~(~ Show t0 whom dallvaretl, tlete, end addressee's edtlress. Z. ^ Restricted Delivery
i(Extra cbargeJt t/Extra charge)1
3. Article Add essed to: 4. Article Number
Bar 70 enterprises Inc. P 051 874 814
Box 2157 '
Type of Serv
~ce:
Meeker, Colorado 81641 _ ^ RegisteredR ~~, ^ mspred
Certified ^ COD
^ Express Mail
M Always °htain signature of addressee
~ or agent entl DATE DELIVERED.
5. Sign t e r ~p 8, Addressee's Address (ONLYif
x ~ requested and fee paid) ,
fi. gnetur -Agent
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T. one of Defiyary ~ G o 8~~~
PS Form ~i1, Mar. 1987 r U.S.G.P.O. 2f1l7~176368
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RECEIPT FOR CERTIFIED MAIL It
DOMESTIC RETURN RECEIPT

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NO INSURANCE COVERAGE PROVIDED I}
NOT FOR INTERNATIONAL MAIL L
(See Aeverse)
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Date, and of eIIvA =1
TOTAL Po to and Fe~§' --1 S . -++
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