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m <br />m <br />D <br />IS' <br />cr N <br />0 <br />.11 <br />ru <br />0 <br />0 <br />O <br />Sri <br />m <br />r-1 <br />r1 <br />O <br />N <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com® <br />— Postage: <br />Certified Fee: <br />Return Receipt Fee: <br />(En(Total Postage & Fees: <br />Re, <br />(Endorsement Required) <br />Total Postage & Fees <br />SENDER: COMPLETE THIS SECTION <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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />MR GEORGE E OTTEN <br />GEORGE E. OTTEN <br />11438 CR 19 <br />FORT LUPTON, CO 80621 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />$0.45 <br />$2.95 <br />$2.35 <br />$5.75 <br />Sent To <br />Street, Apt. No.; <br />or PO Box No. <br />City, State, ZIP +4 <br />MR GEORGE E OTTEN <br />GEORGE E OTTEN <br />11438 CR 19 <br />FORT LUPTON, CO 80621 <br />PS Form 3800, August 2006 See Reverse for Instructions <br />Domestic Return Receipt <br />gnature <br />D. 1. delivery address different from item 1? ❑ Yes <br />ES, enter delivery address below: ❑ No <br />3 a,Servlce Type <br />11 3 Certified Mail <br />❑ Registered <br />❑ Insured Malt <br />4. Restricted Delivery? (Extra Fee) <br />7011 3500 0002 9607 9033 <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />M- gy <br />ortS <br />C0 \S \ )bl't <br />due <br />Io /;j <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />Z <br />❑ Yes <br />102595 -02 -M -1540; <br />