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¦ Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery is desired. <br />111111 Print your name and address on the reverse <br />so that we can return the card to you. <br />j • Attach this card to the,back of the mailpiece, <br />i or on the front if space permits. <br />1. Article Addressed to: <br />I <br />Jessie P. Cogburn <br />13473 County Road 17 <br />Platteville, Colorado 80651 <br /> t - - r <br />9PMI?LETE. THIS • • DELIVERY <br />0 <br />n <br />A. Slgnatiire ... I j a • ? • . • . <br />X ? Agent <br />ddressee <br />r11 <br />L.tJrt!Jif1)"E:!?iifti)?t?t •t? t <br />3 U • ( t, <br />E <br />Received by <br />? fed Name) C Date of li ery <br />bu ro <br />C3 <br />Postage <br />$ <br />) <br />D <br />Is deliv <br />dd r <br />ff <br />t f <br />I <br />? 11 Certified Fe <br />. <br />ery a <br />es <br />I <br />eren <br />rom <br />tem 1 ru e <br />/ •? <br />r <br />If YES, enter del ivery address below: ? No <br />0 <br />Return Receipt Fee <br />(Endor ° l <br />,1 t i <br />f Postmark <br /> sement Required) <br /> <br /> <br />a <br /> <br />UI <br /> <br />Restricted Delivery Fee <br />(Endorsement Required) <br />?° tl / Here <br /> <br /> <br />00 <br /> I UU Total Postage & Fees $ OOi <br />:- <br />3. Service Type <br />20 Certified Mail ? Express Mall <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mall ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number: <br />(!cans/er froXeivlce label) 7006 2150 0002 0813 1484 <br />7" Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br />r ostal ServiceTAI <br />IFIED MAIL . RECEIPT <br />ic Mail Only; No insurance Coverage Provided) <br />ry information visit ourwPn?no ?........___ _ <br />nt FLA ?V LLEfCO O e? ` L <br />a1 <br />Dent IO ? <br />o Brian E_. & Lisa _ A :_ --- <br />C 3 C3 Street, Apt No.; <br />r- or PO Box No. '-••---•••-•_•-- <br />_7J50 Weld-_County Road__ 26 <br />City, State2 lP+4 <br />Is 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 />A. <br />X <br />? Agent <br />B. Received by (Printed Name) C. Date of Delive <br />3-z_ ?7-u? <br />D. Is delivery address different from item 17 ? Yes <br />If YES, enter delivery address below: ? No <br />cc <br />Postage <br />$ `0.44 <br />039 ., <br />i 1. Article Addressed to: <br /> ? t <br /> <br />? <br />° <br />Certified Fee <br /> <br /> <br />R <br />$y a 70 ? <br />Og I <br /> <br />I Brian E. & Lis <br />a A. Chapman <br /> <br />C] <br />O <br /> <br />eturn Receipt Fee <br />(Endorsement Required) <br /> <br />$2.20 Rom <br />rBWZ009 <br /> Rost doted Delivery Fee i 7750 Weld County Road 26 <br />a (Endorsement Required) $0.00 j <br />Ln I Longmont, CO 80504 <br />I'"u Total Postage & Fees ? $5, 32 031 <br /> <br />C3 Sent To <br />Jessie P. Co burn <br />C Sfreef. Apt. lVo.: <br />r? or POeoxNo <br /> . 13473 County Road 17 <br /> <br />CI(y, Stete, ZlP+4 °' <br />""" <br />--------------- I 2. Article Number <br /> <br />Platteville, <br />Colorado <br />80651 <br />-- <br />(Trans/erfrom servicelabel) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />3. Service Type <br />M Certified Mali ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? G.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7006 2150 0002 0813 1774 <br />102595.02-M-154(