REP47080

• Permit No: M1976032
• IBM Index Class Name: Report
• Doc Date: 3/29/1990
• Doc Name: 112 ANNUAL FEE LETTER
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

• SENDER: Compete items 1 and 2 when atltlitional services are desued, and complete items
3 and 4.
Put your adtlress in the "RETURN TO" Space on the reverse sitle. Failure to do this will prevent this card
from bean returned to you. The return rece; t lee~will rovide mu the name of the erson delivered to and
the dat of tleliver .Far ad ~tional ees t e ollowing services are available. onsult postmaster or ees
an c ck ozlesl o~ additional service lsl requested.
1. Show to whom delivered, date, and addressee's address. 2. ~ Restricted Delivery
lExrro rharRel lErrru rhrsrRrl
Hartford Accident and Indemnity
Moody Insurance Agency, Inc.
1776 S. Jackson Street
Suite 509
Denver, Colorado 80210
5. S(iygryq~ature~-
X A''\! 1~(n V
PS Farm 3$1 ~, Apr. 14X4
783
I yPe of bervice:
G $egistered ^ Insure0
Certified ^ COD
LJ Ezpress Mail ^ Return Receipt
for Merchandise
Always obtain signature of addressee
or agent and DATE OELCYER ED.
S. Addressee's Address !ONLY if
regw.rrtd arAl fer paid) ,
\•
t\
V. S. G.P.e, t9a9 Z3Beata DOMESTIC RETURN RECEI
NOV P -4596280 782 6-032
RECEIPT FQR CERTIFIED ARAIL
NO INSURANCE COVEMGE PROVIDED
NOf FOR INiERNAiiONAL MAIL
/See Reverse)
1 Senuo
I
O1 Street and NO 128 Pinon Drive
P
n P.O.. late and ZI Code
a 831
N
~ Postage S •
p
Cenilietl Fee
Special Delivery Fee
• SENDER: Complete items 1 and 2 when additional services are desired, and complete item
3 and 4.
Pui your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this tail
from being returned to you. The return rece~ t fee will rovitle ou the name of the erson delivered to ani
the date of debver .For addiuonaT e~he ollowing services are avails e. onsu t postmaster or ee:
c ozlesl or atltlilional servicelsl requested.
1. Show to whom delivered, date, and addressee's address. 2. _: Restricted Delivery
lEnrn rharRel !Furs rhargr)
3. Article Addressed to: ~4. Article Number
Telluride Gravel, Inc, ~ P 459 280 782
128 Pinon Dr1Ve Type of Service:
P.O. Drawer U ' l^ gistered ^ Insured
Cortez, Colorado 81321 candied ^coD
Resgmted Deevery Fee
Return Receipt snowing
to whom and Date Delivered
N
m
Return Recei Y';nowing to whom.
Date. and ryssol DeLJery
`
u
~
TOTAL postg9e Fees ~. (t \
5
~
POeimark brtD3ie

E 'i
~•., r
0
LL
a
U Ezpress lyl as i^ Return Recei t
for Merc
Always obtain signature of arlrlit~spe '
or agent and DATE DELIV ~ ,'~~:
5. Sign r - dr 8. Addressee's Addre9$: NLY it ~'t
x ~ ~~ ~~ repuesrrd and fie paid] ~' :) t]~
6. Signature -Agent /vl(\/"%\l ~ ~. .~"' ! t
7. Date of Delivery ~/ L / (// ~-
l!/"• I
PS Form 3$1 ~, Apr 14X4 •ll.a.G.P.0. 1999~R]6~a15 DO TIC RETURN RECEIPT
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