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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
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20111488.tiff
055 RESOLUTION RE: APPROVE CANCELLATION AND RELEASE OF COLLATERAL FOR SITE PLAN REVIEW, SPR#417 - LUCKY STARS CAR WASH, LLC, C/O PAUL GONZALES, JR. WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, by Resolution dated March 24, 2008, the Department of Planning Services approved the application of Frontier Companies, LLC, do Wendell Pickett, 1700 Kylie Drive, Suite 240, Longmont, Colorado 80504, for an indoor shooting range including retail sales, and a safety training facility on the following described real estate, to wit: Lots 8 and 9, Block 2,Western Dairymen Cooperative Subdivision, being part of the NE1/4 of Section 10, Township 2 North, Range 68 West of the 6th P.M., Weld County, Colorado, and WHEREAS, on April 29, 2009, the Board of County Commissioners of Weld County, Colorado, approved an Improvements Agreement According to Policy Regarding Collateral for Improvements(Private Road Maintenance) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, and Lucky Stars Car Wash, LLC, c/o Paul Gonzales, Jr., P.O. Box 6428, Longmont, Colorado 80501, for property located at 3575 Stagecoach Road, Longmont, Colorado 80501, with terms and conditions being as stated in said agreement, and accepted Irrevocable Letter of Credit No. 045 from AmFirst Bank, N.A., 5201 South Yosemite Street, Suite 100, Greenwood Village, Colorado 80111, in the amount of$68,844.65, and WHEREAS, on June 23, 2010,the Board of County Commissioners approved replacement Irrevocable Letter of Credit No. 052, dated May 24, 2010, in the amount of$11,000.00, drawn on AmFirst Bank, 916 South Main Street, Suite 100, Longmont, Colorado 80501, and WHEREAS,staff from the Weld County Departments of Planning Services and Public Works have conducted a visual inspection and recommend release of said collateral. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado,that Irrevocable Letter of Credit No. 052 drawn on AmFirst Bank, in the amount of $11,000.00 be, and hereby is, canceled and released. BE IT FURTHER RESOLVED by the Board that the Clerk to the Board be, and hereby is, directed to return said collateral to the appropriate issuing party. I 111111 11111 111111 MIN IIII III III l lilt!j C VIII 3778055 07/05/2011 12.488 Weld County, 0 1 of 2 R 0.00 D 0.00 Steve Moreno Clerk& Recorder 9L , PL;; Qom/ Pied . �� i� 2011-1488 / PL2016 • CANCEL COLLATERAL - LUCKY STARS CAR WASH, LLC, CIO PAUL GONZALES, JR. PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of June, A.D., 2011. BOARD OF COUNTY CO MISSIONERS WE D COUNTY, CO •' DO ATTEST: �' ` • rbara Kirkmeyer r hair Weld County Clerk to the B. y, `y'',1�.�� ! l�J awl y, `ro-Tem Deputy Clerk to the Bo N. illi . Garcia APPR D A C e cc, pay • . Lon ounty Attorney - 6 Do glas Rademacher Date of signature: 1 ����1111111������1��'111111���I1111111�\\I% III\���� \3171718101151511017110‘11112101113 778055 0710812011 2 of 2 R 0.00 D 0.00 Steve Moreno Clerk r 2011-1488 PL2016 1 861 -201 1 MEMORANDUM wI e o oI N r r To: Board of County Commissioners From: Kim Ogle, Department of Planning Subject: Site Plan Review No. SPR-417 Lucky Stars Car Wash, LLC dba Trigger Time Gun Club Irrevocable Letter of Credit#052 AmFirst Bank— Longmont Colorado Date: April 6, 2011 The Department of Planning Services received a verbal request from the applicant's Paul and JoEllen Gonzales requesting an inspection of the property to determine if the required improvements had been accepted in order to obtain the final release of collateral for the indoor shooting range and safety training facility located at 3575 Stagecoach Road, Longmont, Colorado, in the Western Dairymen Cooperative PUD. The Departments of Planning and Public Works conducted a field investigation and determined that the requisite improvements were completed, therefore it is our recommendation that the Irrevocable Letter of Credit#052, from AmFirst Bank, 916 Main Street, Suite 100, Longmont Colorado 80501 in the amount of eleven thousand ($11,000.00) and no/100's be released. SERVICE,TEAMWORK,INTEGRITY,QUALITY 2011-1488 a MEMORANDUM TO: Kim Ogle, Planning Services IDATE: 4/6/2011 Richard Hastings, Public Works Department COLORADO FROM: g , p SUBJECT: Final Release of Collateral Lucky Stars Car Wash, LLC a.k.a.-"Trigger Time Gun Club" (SPR #417, PL2016, 2009-1029) Request for Final Release of Collateral: The Department of Planning Services received a request from the applicants, Paul and JoEllen Gonzales, requesting an inspection of the property in order to obtain the final release of collateral for the indoor shooting range, retail sales, and safety training facility located just south of State Highway 119 on WCR 7.5 Weld County Public Works Department performed a site inspection, at the above mentioned site, and observed the following: • All Public Works related items on Exhibit A, of the Improvements Agreement According To Policy Regarding Collateral For Improvements (Private Road Maintenance) Document # 2009-1029, have been completed and are found to be acceptable. Weld County Collateral List: Lucky Stars Car Wash, LLC, do Paul Gonzales, Jr. (PL2016) (#2009-1029) SPR#417 - Improvements Agrmt Private Road Maintenance, Irrevocable Letter of Credit #045 from AmFirst Bank Expires 04/17/2010 with auto renewal Unless 60 days notice Sent letter to bank 03/19/10 $68,844.65 Partial Release 06/23/10 (2010-1359) - $57,844.65 One year warranty period expires 05/24/2011 $ 11,000.00 Recommendation: The Department of Public Works is recommending final release of collateral, as shown above from the Weld County Collateral List, in the amount of$11,000. Any non-Public Works-related items should be verified by Planning Services prior to collateral release. pc: Don Carroll, Weld County Public Works SPR-417 File C:\Documents and Settings\dbechler\Local Settings\Temporary Internet Files\Content.Outlook\HDO4AUS4\Final Collateral Release(Lucky Stars Car Wash LLC-Trigger Time Gun Club SPR-417)-MEMO.docx Donna Bechler From: Richard Hastings Sent: Monday, May 23, 2011 12:00 PM To: Donna Bechler Cc: Donald Carroll Subject: RE: Lucky Stars Car Wash Attachments: Final Collateral Release (Lucky Stars Car Wash, LLC-Trigger Time Gun Club SPR-417)- MEMO.docx Donna, Here's my memo to Kim regarding SPR-417 dated 4-6-11. Kim's checking on things from his end. I'll let you know what turns up. Thanks for following up on this, Rich Richard Hastings Compliance Analyst& Construction Inspector Weld County Public Works 1111 H Street, P.O. Box 758 Greeley, CO 80632 (970)304-6496 Ext. 3727 &41IOII� : W Ei2!Cv Nov u Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Donna Bechler Sent: Monday, May 23, 2011 9:11 AM To: Richard Hastings Subject: Lucky Stars Car Wash Good morning, Rich. Hope you had a good weekend. Just wanted to touch base with you regarding Lucky Stars Car Wash. Back in March, we corresponded about Lucky Stars Car Wash because I had received a letter from the bank stating the Letter of Credit will expire on May 24, 2011, and they requested the original Letter of Credit be returned to them as of that date. I haven't heard anymore about them since we corresponded in March. Is their collateral ready to be released, or do they need to get a replacement? Probably not a good way to start off a Monday morning©, but thought I better ask about it since May 24th is tomorrow. LatiLetaandi Donna Bechler From: Richard Hastings Sent: Tuesday, March 22, 2011 11:37 AM To: Donna Bechler Cc: Donald Carroll; Esther Gesick; Kim Ogle Subject: RE: Improvements Agreement Update Donna, Kim sent me a copy of the letter from AmFirst Bank so I don't need the original and would assume that you could hang onto it till you receive our memos. That's my take, Kim might advise otherwise. Thanks, Richard Hastings Compliance Analyst& Construction Inspector Weld County Public Works 1111 H Street, P.O. Box 758 Greeley, CO 80632 (970)304-6496 Ext. 3727 I66I 1011 W E ld-/.CG J N T u Confidentiality Notice:This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Donna Bechler Sent: Tuesday, March 22, 2011 11:29 AM To: Richard Hastings; Kim Ogle Cc: Esther Gesick Subject: RE: Improvements Agreement Update Hi Kim and Rich, We just received a letter from the bank advising us that the Letter of Credit for Lucky Stars Car Wash will expire May 24, 2011, and will not be extended. Do you want me to hold this letter until you send me the e-mail asking for the collateral to be released, or do you want me to send it to one of you? Thanks, Donna Donna Bechler Deputy Clerk to the Board 915 10th Street 1 Greeley, Colorado 80631 970-336-7215 04I 7011 W ECl3.m.C'OU N I Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Richard Hastings Sent: Thursday, March 10, 2011 8:00 AM To: Kim Ogle Cc: Donna Bechler Subject: RE: Improvements Agreement Update Kim, Review of the partial release documents indicate that this reduction in collateral took place, via BOCC resolution, in June of 2010, with the Replacement Letter of Credit dated May 24, 2010. With this in mind, final release of collateral should not occur till May, at the earliest, of this year. The one year warranty period is addressed in your memo to the CTB dated 6/18/10. Thanks, Richard Hastings Compliance Analyst& Construction Inspector Weld County Public Works 1111 H Street, P.O. Box 758 Greeley, CO 80632 (970)304-6496 Ext. 3727 it 7011 Uf, wei���cOUN�r I I Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Kim Ogle Sent: Thursday, March 10, 2011 5:51 AM To: Richard Hastings Subject: FW: Improvements Agreement Update 2 Please feel free to contact me with any questions or concerns Kim Ogle Planner Ill Department of Planning 1555 North 17th Avenue Greeley, Colorado 80631 Direct: 970.353.6100 x 3549 Office: 970.353.6100 x 3540 Facsimile:970.304.6498 714 2311 Y/ E C CO4NTT 1.0 Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: JoEllen and Paul G [mailto:joandpaulg@yahoo.com] Sent: Wednesday, March 09, 2011 12:34 PM To: Kim Ogle Cc: Ed Lister Subject: Re: Improvements Agreement Update Kim - We would like to follow up on the Improvement Agreement that we have between Weld County and Paul Gonzales Jr., /Lucky Stars Car Wash LLC. As you can see from the emails below, with the consent of Weld County we reduced the amount of the collateral last May because most of the improvements had been completed. At that time, the only landscaping that we were lacking was the hydroseeding of the western portion of our property which was done late last spring/early summer. We are now requesting that this agreement be finalized and that the collateral be released entirely as all improvements have been completed. Because we are required to give notice to cancel the Letter of Credit through our bank, we would like to know what we need to do to satisfy Weld County that the improvements have in fact been completed and allow for this requirement to be removed. We would be more than happy to send pictures of the property showing that the improvements are complete, if needed. Please let us know what we need to do to have this released so that we are able cancel the Letter of Credit as soon as possible. 3 You can reach Paul at 303-330-6606 or JoEllen at 303-818-0333. Again, we are copying our banker, Ed Lister with AmFirst Bank, on this email so that you are able to ask him any questions you may have. You can either email him or call him at 303-702-9200. Thank you in advance for your assistance with this matter. Paul and JoEllen Gonzales From: Kim Ogle <kogle@co.weld.co.us> To: JoEllen and Paul G <joandpaulg@yahoo.com> Cc: "elister@amfirstbank.com" <elister@amfirstbank.com>; Richard Hastings <rhastings@co.weld.co.us>; Kim Ogle <kogle@co.weld.co.us> Sent: Mon, May 17, 2010 1:16:18 PM Subject: RE: Improvements Agreement Update JoEllen Thank you for your prompt, Staff visited the property late last week and found the property to be in substantial compliance. Staff would support a reduction in the Collateral held for this project from $68,844.65 to $11,000 which is more than the 15% replacement collateral required as per policy outlined in your improvements agreement. The actual number would be 10,326.70 dollars. To facilitate this request, the Department of Planning Services will require replacement collateral in this amount or the $11,000 dollar amount. Upon receipt of the replacement collateral, staff will schedule the hearing with the Board of County Commissioners to accept the replacement collateral. Please contact this office with any questions or concerns. Thank you. Kim Ogle Weld County Planning Services - Greeley Office 1555 North 17th Avenue I Greeley CO 80631 I koglet co.weld.coaus T: 070 356 4000 x 3549 I F 970 304 6498 I From: JoEllen and Paul G [mailto:joandpaulg@yahoo.com] Sent: Monday, May 10, 2010 8:56 PM To: Kim Ogle Cc: elister@amfirstbank.com Subject: Improvements Agreement Update Hi Kim. We spoke with Chris Gathman this afternoon and he suggested that we contact you regarding an Improvements Agreement that we have between Weld County and Paul Gonzales Jr. /Lucky Stars Car Wash, LLC. This agreement is for the property known as 3575 Stagecoach Road South, Lot 8 Block 2, Western Dairymen Cooperative, Inc. 3rd AMPF-431. It has also been referenced as SPR-417. (It may also be known as the Trigger Time Gun Club project.) The Letter of Credit for this Agreement expired on April 17th and we have been working with our bank, AmFirst Bank, to renew it. We are hereby requesting partial release of this Letter of Credit due to the fact that most of the improvements have been completed. Exhibit A attached to our agreement specifically breaks down the estimated costs for the improvements and the total amount is $68,844.65. Of this amount, all improvements have been completed except for hydroseeding the area on the west side of the property which we anticipate to be complete by the end of May. We are requesting that the renewed Letter of Credit amount be reduced from $68,844.65 to $11,000 which is about half of the total landscaping costs. We would be happy to send photographs of our property, if that would be helpful in making the determination to reduce this amount. 4 Please let us know what we need to do so that we can finalize this portion of the paperwork with our bank, as soon as possible. You can reach Paul at 303-330-6606 or JoEllen at 303-818-0333. We are copying our banker, Ed Lister with AmFirst Bank, on this email and we are sure that if you have questions you can reach him via email or at 303- 702-9200. Thank you in advance for your time concerning this matter. Paul and JoEllen Gonzales 5 �i� AMFIRST BANKNA DUPLICATE' March 17, 2011 Board of County Commissioners-Weld County Li AMFIRST BANK.. Attn: Clerk to the Board PO Box 758 Kerry Wong Operations Officer/VP Greeley, Co 80632 303.702.9200 916 S. Main St. Suite 100 Fax 303.702.9205 RE: Lucky Stars Car Wash LLC Longmont, CO 80501 Cell 303.710.0242 Email:kwong@amfirstbank.com www.amfirsibank.com Gentlemen: Please be advised that Irrevocable Letter of Credit No. 052 for the account of Lucky Stars Car Wash LLC a.k.a. Trigger Time Gun Club, located at 3575 Stage Coach Road, Longmont, CO 80504 will expire at 3:00 P.M. on May 24, 2011. AmFirst Bank, N.A. has been informed that the required improvements are now complete. The Bank is making timely notification that Letter of Credit No. 052 will not be extended, and is requesting that the Board of County Commissioners for Weld County provide release of said Letter of Credit. Please supply a copy of this letter as documentation of Acceptance of Improvements regarding 3575 Stage Coach Road, Longmont, CO 80504, signed by an official of the Board of County Commissioners of Weld County, and the original letter of credit. Yours Truly, AMFIRST BANK, N.A. (r)k CU J. Edmund Lister Senior Vice President By signing below, I hereby acknowledge for the Board of County Commissioners of Weld County Acceptance of Improvements made regarding 3575 Stage Coach Road, Longmont, CO 80504; and I attach the Original Letter of Credit No. 052 in the amount of$11,000.00, both to be returned to: AmFirst Bank, N.A. 916 S Main St#100 ngmont, CO 80501-6673 4 / JUN 1 5 2011 �&!� AP L Barbara Kirkmeyer, Chair Signature / Printed Name and I me Uate 916 South Main Street, Suite 100, Longmont, Colorado 80501 ��// /9a(303) 702-9200 • (303) 702-9205 Fax 1861 - 2011 CLERK TO THE BOARD PHONE (970) 336-7215, Ext. 4227 FAX: ( 0) 352-0242 P. BOX P. O. BOX 758 W E L DEC O U N T Y GREELEY, COLORADO 80632 I June 16, 2011 Attn: Kerry Wong AmFirst Bank N.A. 916 S Main Street#100 Longmont, Colorado 80501-6673 RE: Cancellation and release of Collateral — Lucky Stars Car Wash, SPR #417 Mr. Wong: Attached hereto please find the Board of County Commissioners Resolution releasing the collateral for Lucky Stars Car Wash, LLC, dba Trigger Time Gun Club, SPR #417, in the amount of $11,000.00, and the original Irrevocable Letter of Credit #052 issued by AmFirst Bank, in the amount of $11,000.00. If you would like a recorded copy of the Resolution, you can contact the Recording Department of the Clerk and Recorder's Office with Weld County Government. If you have questions or need additional information, please do not hesitate to contact me at (970) 356-4000, Extension 4227 Very truly yours, BOARD OF COUNTY COMMISSIONERS T By: AZ i ..4'4�, Donna J. Be ler, Deputy Clerk to the Board 1861 - 2011 CLERK TO THE BOARD PHONE (970) 336-7215, Ext. 4227 FAX: (97(970) 35252-0242 s P. 0. BOX 758 vs/ E L D. _�G O U N T Y GREELEY, COLORADO 80632 I June 16, 2011 Attn: Paul Gonzales, Jr. Lucky Stars Car Wash, LLC a.k.a. Trigger Time Gun Club P.O. Box 6428 Longmont, Colorado 80501 RE: Cancellation and release of Collateral for Lucky Stars Car Wash, LLC, SPR#417 Mr. Gonzales; On June 15, 2011, the Board of County Commissioners approved the cancellation and release of collateral for Lucky Stars Car Wash, LLC, SPR#417, in the amount of$11,000.00, as referenced above. Enclosed is a copy of the Resolution signed by the Board of County Commissioners. If you would like to receive a recorded copy of the resolution, please contact the Recording Department at Weld County Government. The original Letter of Credit No. 052 for$11,000.00, has been returned to AmFirst Bank, 916 S. Main Street, Suite 100, Longmont, Colorado 80501-6673. If you have questions or need additional information, please do not hesitate to contact me at(970) 356-4000, Extension 4227. Very truly yours, BOARD OF COUNTY COMMISSIONERS By:' e� Donna J. B ler Deputy Clerk to the Board P Co co 1e se Zetc, AMFIRST BANKN.A sro ay a °1'r° L oti 'bete 6/ o ff. Pr P °zPrC 20 dy CO oa ry IRREVOCABLE LETTER OF CREDIT NO.052 May 24,2010 Board of County Commissioners-Weld County Attn: Clerk to the Board P.O. Box 758 Greeley,CO 80632 RE: Lucky Stars Car Wash LLC Gentlemen: We hereby open our Irrevocable Letter of Credit in your favor for the account of Lucky Stars Car Wash LLC, 3575 Stage Coach Road, Longmont, CO 80504,for a sum not to exceed the aggregate of ELEVEN THOUSAND AND 00/100($11,000.00). Each draft so drawn must be marked "Drawn under AMFIRST BANK, N.A., 916 S Main,Suite 100, Longmont,CO 80501 Letter of Credit No.052 and be accompanied by a "signed statement from the Board of County Commissioners of Weld County,Colorado stating the Lucky Stars Car Wash, LLC has committed a material breach of the Improvements Agreement According to Policy Regarding collateral for Improvements regarding 3575 Stage Coach Rd, Longmont Co 80504 dated the 17th day of April, 2009 by and between Lucky Stars Car Wash, LLC and the Board of County Commissioners of the County of Weld." This credit is subject,so far as applicable,to"The Uniform Customs and Practice for Documentary Credits, 2006 Revision,The International Chamber of Commerce Publication No.600." We hereby agree with you that all drafts drawn under and in compliance with the terms of this credit will be duly honored and presented for payment to our main office,AMFIRST BANK, N.A. 5201 5 Yosemite St.,Suite 100,Greenwood Village CO 80111. This letter of credit will expire on May 24, 2011 at 3:00 P.M. This letter of credit is automatically extended without amendment, for additional one year periods from the current expiration or any future expiration date unless 60 days prior to such current expiration date AMFIRST BANK, N.A. notifies beneficiary in writing that the letter of credit will not be renewed. In the case you receive such a notification,you may draw by presentation of the following: (a)a draft at sight on AMFIRST BANK, N.A.; (b) a statement purportedly signed by an official of the Board of County 916 South Main Street Suite 100, Longmont, Colorado 80501 (303) 702-9200 • (303) 702-9205 Fax Letter of Credit No.052 Page Two Commissioners of Weld County, Colorado stating that we have received notice from AMFIRST BANK, N.A., the Letter of Credit No. 052 will not be renewed and that Lucky Stars Car Wash LLC has failed to provide proof of adequate collateral and substitution of this Letter of Credit No. 052; (c) copy of letter from AMFIRST BANK, N.A. stating non-renewal of Letter of Credit No. 052 and the original letter of credit. Yours truly, AMFIRST BANK, N.A. rst_cL J Edmund Lister Sr.Vice President U.S. Postal Service., m CERTIFIED MAILrr,, RECEIPT _D (Domestic Mail Only;No Insurance Coverage Provided) 0 F•r•slivery inf rmatl n visit•ur we•site at www us•s c•tn® Lri r "u ii R (Ill itri Postage $ rn O Certified Fee Cl - I Postmark I C.3 Return Receipt Fee fere / (Endorsement Required) /I Li I 'Pi, (Endorsement cted Delivery Required) Fee CI �, rq Total Postage&Fees sr) ' CI ent To ..cl i1k, o !fFt f` Street,APL No.; 1 //' e /15�i REPO Box No. 1/6__x- ' in kJ ���`�� City,St te.Z'P.4 yc` ,71 1`ii`/n See Reverse for Instructions PS Form 300,June 2002 • SENDER: COMPLETE THIS SECTION COMP(Ere Erns SECTION ON DELIVERY Is Complete items 1,2,and 3.Also complete A. Signature Item 4 if Restricted Delivery is desired. X • O Agent • Print your name and address on the reverse O Addressee so that we can return the card to you. B. ey Printed Na ) Q• Da/�10 8rY • Attach this card to the back of the mailplece, l„ Dl•�� tIC_7 / / 1 1 or on the front if space permits. V QQQ D. Is delivery address different from item 1? Y 1. Article Addressed to: If YES,enter delivery address below: O No 4rnF'rb-7' 4a X S /C� 9/& 5 �l(r,nSi` Lcigmerrl C(Z'I &Cc/-G75 3. Starsiee Type CertlDed Mall O Express Mall ❑Registered O Return Receipt for Merchandise ❑Insured Mail O C.O.D. 4. Restricted Delivery'?(Extra Fee) ❑Yes 2. Article Number 7005 1820 0003 5225 0631 (Transfer imm service label) PS Form 3811,February 2004 Domestic Return Receipt 102595o2-M-1540 1
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