2009-05-04_REVISION - M1995063

• Permit No: M1995063
• IBM Index Class Name: REVISION
• Doc Date: 5/4/2009
• Doc Name: Adequacy Review
• From: Logan County
• To: DRMS
• Type & Sequence: CN1
• Email Name: ECS
• Media Type: D
• Archive: No

d SENDER:
a ¦ Complete items 1 and/or 2 for additional services.
rn ¦ Complete items 3, 4a, and 4b.
of ¦ Print your name and address on the reverse of this form so that we can return this
card to you.
v ¦ Attach this form to the front of the mailpiece, or on the back if space does not
aai permit.
- ¦ Write "Return Receipt Requested"on the mailpiece below the article number.
a, ¦ The Return Receipt will show to whom the article was delivered and the date
z delivered.
O 3. Article Addressed to: an Artirla Ni imhcr
1„ 7008 1140 0004 3195 1617
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°-' 4b. Service Type
o Paul Fehringer ? Registered Certified
V 21444 CR 72
? Express Mail ? Insured
U1 Peetz, CO 80747 El Return Receipt for Merchandise El COD
p 7. Date of Delivery
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cc 5 Received By: (Print Name) 8. Addressee's Address (Only if requested
and fee is paid)
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`? PS Form 381 ber 1994 102595-9a-B-0229 Domestic Return Receipt
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" SENDER: I also wish to receive the
v ¦ Complete items 1 and/or 2 for additional services.
4b following SerVIC@S (for an
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y .
a Complete items 3, 4a, and
¦ Print your name and address on the reverse of this form so that we can return this
extra fee):
card to you.
¦ Attach this form to the front of the mailpiece, or on the back if space does not
1. ? Addressee's Address
a+
>
'- permit.
¦ Write "Return Receipt Requested" on the mailpiece below the article number. 2. ? Restricted Delivery

y ¦ The Return Receipt will show to whom the article was delivered and the date
Consult postmaster for fee.
delivered.
O 37AtticteAddressed to: I as Artirla Nnmhor
7008 1140 0004 3195 1662
Q 4b. Service Type
E Sidney & August Buss ? Registered
u) PO Box 13 ? Express Mail
W Peetz, CO 80747 ? Return Receipt for Merchandise
p 7. Date ofDeliver?
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5. Received By: (Print Name) 8. A ressee's Ad
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6. Signature: (Ad ressee or Agent)
T X
y PS Form 3811, December 1994 102595-98-13-0229
3-c/ <
ress (Only if
ai SENDER: I also wish to receive the
.f :2 rComplete items 1 and/or 2 for additional services.
fOIIOWIng services (for an
N
a) ¦ Complete items,3, 4a, and 4b.
¦ Print your name and address on the reverse of this form so that we can return this
extra fee):
n
d card to you.
¦ Attach this form to the front of the mailpiece, or on the back if space does not 1. ? Addressee's Address
permit.
• Wri te "Return Receipt Requested" on the mailpiece below the article number.
ry
2. El Restricted Delive
¦ The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.
delivered.
O 3. Article Addressed to: 1 as Grtirlc Numhcr
?008 1140 0004 3195 1433
°-'
? Maynard & Norma Jean 4b. Service Type
o Schumacher Life Estate ? Registered
U
10 1644 King Street ? Express Mail
w ? Return Receipt for Merchandise
cc Sidney, NE 69162 7. Date of Deliver
5. Received By: (Pn t Name) 8. Addressee's Address (Only if requested
W ,4-7 -VVm, .2 e 1q and fee is paid)
W
¢ 6. Signature: (Addressee or Agent
a A
y PS Form 381f, December 1994 102595-98-B-022
I also wish to receive the
following services (for an
extra fee):
1. ? Addressee's Address
2. ? Restricted Delivery
Consult postmaster for fee.
l;G Certified
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Domestic Return Receipt
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