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Certified <br />SUBJECT: <br />PROJECT: <br />DATE: <br />REMARKS: <br />Mail Receipt <br />Pe4RA G t UDZriGe TO LANDD.✓ ve.L. W I r1 ;6) .200 F T <br />04 pH 4A w v N - 2o <br />AO/6L 4 L3 <br />;g4,2.. <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mall Only; No lnsuranea Coverages Provided) <br />Arlit a�— <br />For delivery information visit of _ weoaite at www.usr s.c <br />PS Form 3800. <br />ru <br />IT' <br />r- <br />o— <br />c" <br />r- <br />ru <br />O <br />O <br />r` <br />0" <br />ru <br />rl <br />rR <br />0 <br />r- <br />Postage <br />Certified Fee <br />Rotum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />rt <br />Total Postage & P- -- <br />ent o <br />bfree, Apt No., JAMES & RHONDA HRIBAR <br />Box No. <br />City, 87 CR 640 <br />y, te, Z! <br />WALSENBURG, CO 81089 <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 />JAMES & RHONDA HRIBAR <br />1 187 CR 640 <br />WALSENBURG, CO 81089 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />i <br />ture <br />ived by (Prjnted Name) <br />�ti" <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES. enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery? (Extra Fee) <br />2. Article Number <br />(Transfer from service label) <br />7011 2970 0002 7119 9792 <br />< <br />Addressee <br />C. Date of Delivery <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595.02- M-1540 <br />