Laserfiche WebLink
r~ L Z <br />' CERTIFIED <br />(Domestic Mail Ong <br />For delivery informati <br />~/Z~/~~ <br />~ : ~ ~y <br />.~-- <br />Q' DBMS-1313 Sherman., Rm 215, Denver, CO 80203 <br />N (~~ ~~ <br />Postage $ <br />O <br />O CertHied Fee <br />O ~ ! ~-~(U <br />O Return Receipt Fee Postmark <br />Q (Endorsement Required) ~ ` ~~' Here ~~ f~ ~ / ~ n <br />~ Restricted Delivery Fee I8 V~J /~X <br />~ (Endorsement Required) - ?if,r, <br />Total Postage & Fees $ r <br />m ~ ~'r'C_e~ `~ <br />~) <br />O S To <br />a ., <br />or PO Box No. / ~7.~i, / ~ _. ~1 v .~ _ D 1 / / / <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />. ~1 j/P,^S ,~e ~ fP ~~5 <br />Dios <br />A. Si lure ~/ ^ Agent <br />X 't ^ Addre <br />B. 6te eived b bled Name) C. D to of el <br />~~ <br />D. Is delivery address different from item 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for.Merohandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7 D D 5 311 D DODO 219 9 3 D 16 <br />(Transfer from service label) <br />102595-02-M-1540 <br />PS Form 3811, February 2004 Domestic Return Receipt y <br />