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

ci SENDER: I also wish to receive the
•v_ ¦ Complete items 1 and/or 2 for additional services. following services (for an
rn
M ¦ 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):
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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 v

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¦ Write "Return Receipt Requested"on the mailpiece below the article number.
2. ? Restricted Delivery

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Y ¦ The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.
delivered
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0 3. Article Addressed to: 4a. Article Number
d 7008 1140 0004 3195 1624 X

°• Wayne & Diane Schumacher ervlce ype
v 35436 CR 45 El Registered Certified
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Cl) Peetz, CO 80747 ? Return Receipt for Merchandise ? COD ?

7. Date of Delivery L

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y S Form 3811, December 1964 102595-98-B-0229 Domestic Return Receipt
ai SENDER: I also wish to receive the
v ¦ Complete items 1 and/or 2 for additional services. following services (for an
m
d s 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):
i
at 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.
¦ Write "Return Receipt Requested" on the mailpiece below the article number. 2. El Restricted Delivery N
¦ The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. S
delivered. •m
o 3. Article Addressed to: 14,q Artirla Nurnhar
7008 1140 0004 3195 1631 6
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Gar & Krist Schumacher
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istered Certified
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7. Date of Delivery $
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pc 5. Rec ived y: (Print Nanje)
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6. Signa :((Addressee orAgent) F-
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PS Form 381 ecember 1994 102595-98-13-0229 Domestic Return Receipt
SENDER:
¦ Complete items 1 and/or 2 for additional services.
¦ Complete items 3, 4a, and 4b.
¦ Print your name and address on the reverse of this form so that we can return this
card to you.
¦ Attach this form to the front of the mailpiece, or on the back if space does not
permit.
s Write "Return Receipt Requested" on the mailpiece below the article number.
¦ The Return Receipt will show to whom the article was delivered and the date
delivered.
3. Article Addressed to: 4a. Article Number
7008 1140 0004 3195
Marcela Schumacher
PO Box 195
Peetz, CO 80747
5. eceived By: (Print Name)
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6. Signature: (Addressee or Agent) )
I also wish to receive the
following services (for an
extra fee):
i
1. ? Addressee's Address a
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2. ? Restricted Delivery
Consult postmaster for fee. L
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7. Date of Deli o
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8. Addressee s Addres (Only if equested Y
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PS Form 3811, December 1994 102595-98-B-0229 Domestic Return Receipt