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<br />1 <br />nI <br /> <br />n Postage $ <br />U <br />:3 Certified Fee (O S <br />r <br />_q Return Receipt Fee S <br />:1 (Endorsement Required) <br />=1 Restricted Delivery Fee <br />=1 (Endorsement Required) <br />Total Postage & Fees :P , _ •-1 <br /> <br />r Sent To <br />a <br /> Street, Apt. No.; Gloria Hice-Idler <br /> or PO Sox No. CDOT <br />" <br /> _ - Street <br />1420 2 <br />ti. City, State, ZlP+ 4 r ,i- (•.n Anr32 <br />I <br />Lr7-1,:2 7L <br />Postmark <br />Here <br />I <br />I <br />i <br />I <br />i <br />and 3. Also complete <br />)elivery is desired. <br />address on the reverse <br />n the card to you. <br />ie back of the mailpiece, <br />ice permits. <br />Gloria Hice-Idler <br />CDOT <br />1420 2nd Street <br />Greeley, CO 80632 <br />A. Sign I, <br />I?Z _? / ` ? Agent <br />(/ ? Addressee <br />B. Receiv9d by (Printed NaTe) C. Qate,pf-?e[A y" <br />` . <br />D. Is elivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3.. Service Type I <br />64 Certified Mall 0 Express Mail <br />? Registered ? Return Receipt for Merchandise' <br />? Insured Mall ? C.O.D. ? <br />4. Restricted Delivery? (E)(tra Fee) ? Yes <br />l3 j Li <br />2. Article Number 0 19 4 0 0001 9025 <br />_tl __ __.---.--•--- - --- - -• - <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br />r- I <br />.n I <br />Ln _.J <br />6i'I - -----r-__ <br />Lr) Postzga S <br />17-1 ueriified Fee <br />Postmai t. <br />Rsiurn Hecaipt Fee 'J Hera ---- -...----'-.. _.. <br />rwq a iEndorsement Required) <br />a Restricted Delivery Fee <br />CD (Endorsement Required) • <br />'I'otol Postage & Fees .O <br />C7 and 3. Also complete <br />- -- - -- --- -- Delivery is desired. <br />Er ?ent To ? i i address on the reverse <br />....................... ferry Willis - <br />Street, Apt. No.; roemevae?y xerai simtric near. m the card to you. <br />rr1 or PO BOX No. 76J9REAPerM?ay 11 :he back of the mailpiece, <br />p eor 272550 -----I ace permits. <br />City. State, Z1Pt• 4' r o r^n'^° rnnnsna Terry Willis <br />Poudre Valley Rural Electric Assn. <br />7649 REA Parkway <br />Box 272550 <br />Fort Collins, CO 80520 <br />2. Artidle! Number 7001 1940 0001 9 0 2 5 556? <br />(Transfer from service fat_ _ _ ------ ----- <br />I 13 ot i r _.. 27272727 r-)-.ti Rat!rm Rwrsint <br />A. Signature <br />? Agent <br />X t ? Addressee <br />B. Rgceived by (Printed Name) f C: Date of Delivery <br /> <br />D. is delivery address different from Kern 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />MCertlfied Mail 0 Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />102595-02-M-1540