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¦ 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 ort;1he front If space permits. <br />1. Articin'ddressed to: <br />Deis Blue <br />4011?County Road 104 <br />Carbondale, CO 81623-9604 <br />A. <br />O Agent <br />8. Received by (Printed ).r 1I?$Qf Delivery <br />D. Is delivery address dnt from item I? t-] Y? . <br />If YES, enter delive Tess be[ & <br />• aN C'?? <br />f <br /> <br />3. Service Type <br />4zistered ified Mall 0 Express Mail <br />?etum Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7009 2250 0003 7645 9768 <br />(Transfer from service laben <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-WI640 <br />43 <br />.A <br />I*- i For delivery informat ion visit our webs ite at www.usps.com., <br /> <br /> <br />A <br />A <br /> <br />Postage $ <br />y <br />Ma r <br />M Certifted Fee <br />10 <br />C3 Postmark C? <br />O eturn Receipt Fee <br />R Mere <br />C3 (Endorsement Required) 30 <br />0 ResMcted Delivery Fee <br />(Endorsement Required) <br />0 <br />ru <br />ru <br /> <br />' <br />Total Postage <br />ru <br />?, Sent to <br />Dee Blue <br />C3 Slreer.lljoi:16 404 County Road 104 <br />or PO--Box IVO. --- Carbondale, CO 81623-9604 <br />city, stale, NX <br />(Domestic Only; No Insurance Coverage Provided) <br />S <br />For delivery Information visit website at :, <br />Q <br />" <br />Ln o L www.usps .co? <br />.A Postage $ <br />tti <br />fr> Certified Fee r <br />0 Return Receipt Fee <br />00 (Endorsement Required), 3 O (j ri f??t <br />Restricted Delivery Fee ?? f n <br />3 (Endorsement Required) u ( ? <br />Ln , Cy <br />ru Total Postage & Fees <br />ru <br />Er nt o is PS <br />o Steer, A"r Delores (Dee) B. Blue Revocable rust <br />or PO Box 1 404 County Road 104 <br />iNg-g ;". Carbondale, CO 81623 <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 mallpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Dolores (Dec) B. Blue Revocable Trust <br />404 County Road 104 <br />Carbondale, CO 81623 <br />A. Signature <br />XZ"a .. ? Agent <br />ddressee <br />B. Received by (Printed Name) ,L'3 6f IvEtrjr <br />D. Is delivery address differen itb It ? ? Yes <br />If YES, enter delivery add elovr `vJ o <br />0 ? <br />}.• ' l <br />Q N <br />3 Service Type <br />Certified Mail 0 Express Mail <br />0 Registered '9:141eiurn Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7009 2250 0003 7645 9447 <br />Mmsfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102596-024A-1540