HomeMy WebLinkAbout20110352 278
RESOLUTION
RE: APPROVE CANCELLATION AND RELEASE OF COLLATERAL FOR OPEN SPACE
PARKS PORTION OF PLANNED UNIT DEVELOPMENT FINAL PLAN, S #554 -
KB HOME OF COLORADO, INC.
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 7, 2001, the Board approved the application of Kent
Carlson, P.O. Box 247, Eastlake, Colorado 80614, for 351 Residential lots in the Mixed Use
Development area, on a parcel of land located on the following described real estate, to wit:
Part of the NW1/4 NE1/4 of Section 10, Township 2
North, Range 68 West of the 6th P.M., Weld County,
Colorado, as shown as on the final plat as Phase 2 of
Planned Unit Development Final Plan, S#554, Idaho
Creek, and
WHEREAS, on April 14, 2003, the Board of County Commissioners of Weld County,
Colorado, approved an Improvements Agreement According to Policy Regarding Collateral for
Improvements (Public Road Maintenance) between the County of Weld, State of Colorado, by and
through the Board of County Commissioners of Weld County, and KB Home of Colorado, Inc.,with
terms and conditions being as stated in said agreement, and
WHEREAS, on December 20, 2004, the Board was presented with a Faithful Performance
Bond (Subdivision) #SU 5010143, issued by Arch Insurance Company, in the amount of
$346,006.00, for the Open Space Parks Collateral, and
WHEREAS, staff from the Weld County Departments of Public Works and Planning Services
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 Faithful Performance Bond (Subdivision) # SU 5010143, from Arch
Insurance Company, in the amount of$346,006.00 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.
111111111111111111111111111111111111111 III 111111111 1111
3752278 02/24/2011 02:11P Weld County, CO
1 of 2 R 0.00 D 0.00 Steve Moreno Clerk& Recorder
?L, K\3aow\c
2011-0352
a - a5S-I 1 PL1321
CANCELLATION AND RELEASE OF COLLATERAL - KB HOME OF COLORADO, INC.
PAGE 2
The above and foregoing Resolution was, on motion duly made and seconded, adopted by
the following vote on the 2nd day of February, A.D., 2011.
BOARD OF COUNTY COMMISSIONERS
WELD COUNTY, COLORADO
ATTEST: ► � Ij •.c_
rbara Kirkme er Chair
Weld County Clerk to the ..r
Se -Tem
BY: �.�i%�y��Iil'f \ ,.r
Deputy CI to the Boa •
ha . Garcia
AP „: AS— ORM: CiV
David E. Long
•
County Attorney EXCUSED
Douglas Rademacher
Date of signature: 10070//
111111 III'
CO
27of278 2 R 0.00/2D10.00 2Steve MorenooCl:11P Weld Cuk& Recorder
2011-0352
PL1321
1861 -2011 MEMORANDUM
�a(
W F L NT r To: Board of County Commissioners
From: Kim Ogle, Planning Services
Subject: Full Release of Collateral
Idaho Creek Planned Unit Development
KB Homes Colorado, Inc.
AmPF-554
Date: January 31, 2011
The Department of Planning Services received a written request from the Idaho Creek
Homeowners Association (HOA) dated January 13, 2011 on behalf of KB Homes Colorado, Inc.
(KB Homes) for the full release of all monies associated with the Open Space Parks and
Classroom component of the Idaho Creek PUD. As indicated in the January letter, the
Homeowners Association accepts the open space classroom component in its current condition.
Given this action and understanding by KB Homes and the Idaho Creek HOA, the Department of
Planning Services recommends a full release of collateral held for KB Home of Colorado, Inc.
KB Home of Colorado, Inc. (PL1321 #2004-3547)
Idaho Creek, Open Space Parks Improvements Agreement
Faithful Performance Bond (Subdivision) #SU 5010143,
from Lumbermen's Mutual Casualty Company
in the amount of three hundred forty-six thousand and six ($346,006.00) with no/100 dollars.
Planning Services requests the approval of this request by the Board of County Commissioners.
SERVICE,TEAMWORK,INTEGRITY,QUALITY
2011-0352
IDAHO CREEK
HOMEOWNERS ASSOCIATION
January 13,2011 Weld County Planning Department
GREELEY OFFICE
Mr. Kim Ogle ,IAN 19 9f111
Department of Planning Services
Gr55l Plann Avenue
RECEIVED
1555 North 17th Avenue
Greeley,Colorado 80631
Mr. Ogle:
As you know KB Home Colorado,Inc. ("KB Homes") still needs final acceptance from Weld County
for the Open Classroom Park component located in the Idaho Creek Homeowners Association, Inc.
("Association") development. Weld County is holding a Bond (SU5010143) for KB Homes in the
amount of$346,006.00 to guarantee completion of site improvements,per the development agreement
between Weld County and KB Homes. KB Homes recently requested Weld County to release this
Bond in satisfaction of the conditions therein.
I understand that Weld County inspected the development and, in a letter dated October 29, 2010
between yourself and Ms. Katie Cooley of Cooley Development Consulting, indicated concerns
regarding plant material to be installed within the Open Classroom Park component, as well as
completion of certain punch list items. The letter indicates that Weld County will not release the Bond
to KB Homes until it receives a letter written by the Association President stating that the Association
is accepting the Open Space Classroom component in its current condition.
This letter serves as notice to Weld County that the Association has accepted the Open Space
Classroom component from KB Homes in its current condition, as indicated in your letter dated
October 29, 2010 to Ms. Cooley. The Association will assume the punch list items as listed on the
October 29,2010 Weld County punch list.
If you need additional information from the Association, please feel free to contact the managing
agent of the Association,Mr. Kyle Berzina of Hammersmith Management, (303)980-0700.
Sincerely,
President of the Idaho Creek Homeowners Association, Inc.
cc: Katie Cooley,Cooley Development Consulting
Board of Directors, Idaho Creek Homeowners Association, Inc., do Hammersmith Management,
Attn. Kyle Berzina
Melissa M.Garcia,Esq.,HindmanSanchez,P.C.
llannersflth Management Inc IGreen wood Viage I Natlglan'FM Collins ICdaraio Spi ga
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MEMORANDUM
iiiipe
TO: Case File, AmPF-554 KB Homes of Colorado
COLORADO DATE: October 29, 2010
FROM : Kim Ogle, Planning Services
SUBJECT: Digital Photographs of Site Inspection
Idaho Creek Open Classroom
i‘‘‘1144%..iiir-411-43.•••••••,,,i.air • •e �
.,�4`./i $Qia,11�11 1•i/•iti�n isl.,. Ir ' ' �.,�a Aisles' - - _ 1
Afrili
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ail,,, 't • n•ee t•w.,, ) �' F .
NI t!'1t 1�111111t 1 +�A.� a ` +
..� 4tfflti/ii/1��aa. f'� +r' i . .c. '>�.`= - i}. • _ 1
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f. `
Trash Receptacle Parking Area, Damaged Interpretative Area 1 , Trash Receptacle Missing Lid
w ill " rte y, -
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Interpretative Area 2 Interpretative Area 3, Trash Receptacle Missing Lid
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Interpretative Area 3, Mulch pile in Parking Lot
Trash Receptacle, Damaged and Missing Lid
Les
Kit DEPARTMENT OF PLANNING SERVICES
Greeley Planning Office
1555 North 17t Avenue
liD
Greeley, Colorado 80631
WEBSITE: www.co.weld.co.us
O E-MAIL: kogle@co.weld.co.us
PHONE (970) 353-6100, EXT. 3549
• FAX (970) 304-6498
COLORADO
October 29, 2010
Ms. Katie Cooley
Cooley Development Consulting
14577 Galena Court
Brighton, Colorado 80602
Subject: Open Classroom at Idaho Creek PUD
Assessment of current site conditions
Dear Ms. Cooley:
The Department of Planning Services is in receipt of your letter with multiple dates,August 10, 2009,January
15, 2010 and October 15, 2010 in the masthead, requesting final acceptance of the site improvements
associated with the Open Classroom at Idaho Creek PUD. This office conducted a field investigation to
determine if the improvements had been completed for the non-transportation items as outlined on drawings
prepared by Valerian, LLC of Littleton, Colorado for the Open Classroom Park component associated with this
development.
As outlined in previous correspondence, the Open Classroom Park component of this development had
several issues that required addressing by KB Homes of Colorado, and many of the previously discussed
issues have been resolved.
However, upon investigation Planning staff noticed in at least one location the top for the trash receptacle was
not present thereby allowing for windblown and animal strewn materials to be a nuisance condition. In at least
two locations the trash receptacle is damaged due to apparent vandalism. In one location there remains a
moderately sized pile of bark mulch within the paved parking area. Please find attached digital images and
locations of the conditions as described.
As previously discussed with KB Homes of Colorado representatives, Sheet L-12 from Valerian, LLC
delineates the required evergreen deciduous and ornamental trees and the evergreen and deciduous shrubs
by quantity, for the entire development. While this list appears to represent the existing plant material placed
within the development staff visually identified several areas staked for what is perceived to be a new plant
material installation, both within the trail area and also in the area identified as a future trail connection to the
school if ever constructed on site. Representatives for KB Homes of Colorado verbally indicated that the
open classroom component has been transferred to the Idaho Creek PUD Homeowners Association and that
the HOA had undertaken the upkeep of this natural area component.
As previously discussed,the Bond(SU5010143)held for KB Homes of Colorado to guarantee the completion
of site improvements was held within an agreement between Weld County and the Developer. The Idaho
Creek PUD HOA was not party to this agreement. Proper notice was not provided to Weld County when KB
Homes released obligations to the HOA and we respectfully request a letter written by the HOA President
indicating that they are accepting the open classroom component in the current condition as discussed herein.
With receipt of this letter from the Idaho Creek PUD HOA,the Department of Planning Services is prepared to
recommend that Bond (Subdivision) #SU 5010143 issued by Arch Insurance Company in the amount of
$346,006.00 dollars for the Open Classroom Park component be released.
Should KB Homes of Colorado, Inc.,or Cooley Development Consulting have questions or concerns regarding
this request, please contact this office for clarification. My points of contact are listed in the masthead. Thank
you.
Sincerely,
•
WKi gle
Plan ng Services
Enclosure: Digital Photographs of site Conditions
ec: E.Gesick,CTB
T.Jiricek,Planning
T.Parko,Planning
D. Bauer,Public Works
R. Hastings, Public Works
J.Holbrook,Public Works
1861 - 2011
CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4227
FAX: (970) 352-0242
P. O. BOX 758
WELD.- �C O U N T Y GREELEY, COLORADO 80632
January 24, 2011
Attn: Andrew Trietley
Director of KB Home
7807 East Peakview Avenue, Suite 300
Centennial, Colorado 80111
RE: Cancellation and release of Collateral — KB Homes of Colorado, Inc. (Open Space
Parks — Idaho Creek)
Mr. Trietley:
Attached hereto, please find the Board of County Commissioners Resolution releasing the
Collateral for KB Homes of Colorado, Inc., (Open Space Parks — Idaho Creek) in the amount of
$346,006.00. If you would like a recorded copy of the resolution, please contract our Clerk and
Recorders Office at 970-304-6530. The original Faithful Performance Bond (Subdivision)
#SU 5010143, has been returned to Arch Insurance Company, in the amount of$346,006.00.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4227.
Very truly yours,
BOARD OF COUNTY COMMISSIONERS
By:
Donna J. Be ler,
Deputy Clerk to the Board
CC: Katie Cooley
Donna Bechler
From: Katie Cooley[katie@cooleydevelopment.com]
Sent: Friday, October 29, 2010 12:34 PM
To: Donna Bechler
Cc: atrietley@kbhome.com
Subject: KB Idaho Creek Bond Relelase
Hi Donna,
Please send the bond release to the attention of Mr. Andrew Trietley, Director of KB Home
7807 E. Peakview Ave., Suite 300
Centennial, CO 80111
Please call me if you have any questions/concerns.
THANKS!!
Katie Cooley,Construction Manager
1r � �c i- y_a��/
COOLEY DEVELOPMENT CONSULTING Cc L�/�4
ON BEHALF OF KB HOME COLORADO INC. cz
Katie@coolevdeve!opment.com 62 nee
(303)810-2704 cell Cie / /ai(c'
•
1
1861 - 2011
CLERK TO THE BOARD
PHONE (970) 336-7215, Ext. 4227
FAX: (970) 352-0242
P. O. BOX 758
WELD,..-COUNTY GREELEY, COLORADO 80632
I
January 25, 2011
Attn: Maria Pena
Aon Risk Insurance Services West, Inc.
P.O. Box 54670
Los Angeles, California 90054-0670
RE: Cancellation and release of Collateral — KB Homes of Colorado, Inc. (Open Space
Parks — Idaho Creek)
Ms. Pena:
Attached hereto please find the Board of County Commissioners Resolution releasing the
Collateral for KB Homes of Colorado, Inc. (Open Space Parks — Idaho Creek), in the amount of
$346,006.00 and Faithful Performance Bond (Subdivision) #SU 5010143, issued by Arch
Insurance Company, in the amount of $346,006.00. If you would like to receive a recorded
copy of the Resolution, please contact our Weld County Clerk and Recorder's Office at
970-304-6530.
If you have questions or need additional information, please do not hesitate to contact me at
(970) 336-7215, Extension 4227.
Very truly yours,
BOARD OF COUNTY COMMISSIONERS
By: t-
Donna J. Be ler,
Deputy Clerk to the Board
c -1)N CO
ry �r �e
Co Na Pr@ 1
BOND NO.: SU 501�'L7s -9.6%,
loe)
PREMIUM: $2,768.00 rs a %,
)6y
lj -A 2� 4,
Pd 20(31
ZG
FAITHFUL PERFORMANCE BOND cey 1
SUBDIVISION oar
KNOW ALL MEN BY THESE PRESENTS, That we, KB HOME Colorado Inc., as Principal, and t,P
Arch Insurance Company, as Surety, are held and firmly bound unto Weld County, as Obligee, in the 4)
sum of Three Hundred Forty Six Thousand Six and 00/100 Dollars ($346,006.00), lawful money of rp
the United States, for the payment of which sum well and truly to be made, we bind ourselves jointly
and severally, firmly by these presents.
THE CONDITION OF THE F OREGOING OBLIGATION IS SUCK, That, Whereas, said Principal has
entered into a Subdivision Agreement with said Obligee, dated October 22, 2001, in which said
Principal agrees to construct improvements in Subdivision known as follows:
Idaho Creek Phase 3
Open Classroom Park Improvements
and, as a condition of approving said Subdivision, the Principal is required to give a bond to guarantee
completion of said improvements.
NOW, THEREFORE, if the said Principal shall well and truly do and perform all the covenants and
obligations of said agreement on its part to be done and performed at the time and in the manner
specified therein, then this obligation shall be null and void; otherwise, it shall be and remain in full
force and effect and, in addition, Surety agrees to pay reasonable attorneys' fees in the event that it
becomes necessary to bring an action to enforce this bond.
Signed and sealed on October 20, 2004.
KB HOME Colorado Inc.
By -
Arch Insurance Company
By T if (`��w
oyce Herrin, Attorney-in-Fact
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT
State of California
County of Los Angeles
On October 20, 2004 before me, Maria Pena, Notary Public,
personally appeared Joyce Herrin personally known to me (or proved to
me on the basis of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted,
executed the instrument.
WITNESS my hand and official seal. rArMARIA PEN-A- va
7 COMM. #1414097
Maria Pena
([ :re," NOTARY PUBLIC CALIFORNIAN
I ,4.; LOS ANGELES COUNTY
My Comm.Expires Apr 27 20007 n
POWER OF ATTORNEY
Know All Men By These Presents:
That the Arch Insurance Company, a corporation organized and existing under the laws of the State of Missouri, having its
principal office in Kansas City, Missouri (hereinafter referred to as the "Company") does hereby appoint
KD Conrad, C.K. Nakamura, Joyce Herrin, Tom Branigan, Edward C. Spector, Marina Tapia, Clarice Lee, Richard E.
Bigley, Lisa L. Thornton, Marla Pena, E. S. Albrecht Jr., Tracy Aston, Betty Walker and Brenda Wong of Los Angeles, CA
(EACH)
its true and lawful Attorney(s)-in-Fact, to make, execute, seal, and deliver from the date of issuance of this power for and
on its behalf as surety,and as its act and deed:
Any and all bonds and undertakings
EXCEPTION: NO AUTHORITY is granted to make, execute, seal and deliver bonds or undertakings that guarantee.the
payment or collection of any promissory note,check,draft or letter of credit.
This authority does not permit the same obligation to be split into two or more bonds in order to bring each such bond
within the dollar limit of authority as set forth herein.
The Company may revoke this appointment at any time.
The execution of such bonds and undertakings in pursuance of these presents shall be as binding upon the said
Company as fully and amply to all intents and purposes, as if the same had been duly executed and acknowledged by its
regularly elected officers at its principal office in Kansas City, Missouri.
This Power of Attomey is executed by authority of resolutions adopted by unanimous consent of the Board of Directors of
the Company on March 3,2003, true and accurate copies of which are hereinafter set forth and are hereby certified to by
the undersigned Secretary as being in full force and effect:
"VOTED, That the Chairman of the Board, the President, or any Vice President, or their appointees designated In writing
and filed with the Secretary, or the Secretary shall have the power and authority to appoint agents and attorneys-In-fact,
and to authorize them to execute on behalf of the Company, and attach the seal of the Company thereto, bonds and
undertakings, recognizances, contracts of indemnity and other writings, obligatory in the nature thereof, and any such
officers of the Company may appoint agents for acceptanctoiprocess."
This Power of Attorney is signed, sealed and certified by facsimile under and by authority of the following resolution
adopted by the unanimous consent of the Board of Directors of the Company on March 3,2003:
VOTED, That the signature of the Chairman of the Board, the President, or any Vice President, or their appointees
designated in writing and filed with the Secretary, and the signature of the Secretary, the seal of the Company, and
certifications by the Secretary, may be affixed by facsimile on any power of attorney or bond executed pursuant to the
resolution adopted by the Board of Directors on March 3, 2003, and any such power so executed, sealed and certified
with respect to any bond or undertaking to which it is attached,shall continue to be valid and binding upon the Company.
o0ML0013 00 03 03
Page 1 of 2 Printed in U.S.A.
In Testimony Whereof, the Company has caused this instrument to be signed and its corporate seal to be affixed by their
authorized officers, this 11th day of March, 2003.
Arch Insurance Company
Attested and Certified
Label),Corporals Secretary C Thomas P.Locket° ,Vice President
�11ar1
STATE OF CONNECTICUT SS
COUNTY OF FAIRFIELD SS
I Melissa B.Gilligan,a Notary Public, do hereby certify that Thomas P. Luckstone and Joseph S. Labell personally known
to me to be the same persons whose names are respectively as Vice President and Corporate Secretary of the Arch
Insurance Company, a Corporation organized and existing under the laws of the State of Missouri, subscribed to the
foregoing instrument, appeared before me this day in person and severally acknowledged that they being thereunto duly
authorized signed, sealed with the corporate seal and delivered the said instrument as the free and voluntary act of said
corporation and as their own free and voluntary acts for the uses and purposes therein set forth.
1.r ,
.;3 . ':4,4 Z. IMdI G
t AY aan,NotaryPu
• ', ...•Z .!•~ Mycomnisaton expires 2,2845
,r(4 le t
.•tOtist
CERTIFICATION
I, Joseph S. Labell, Corporate Secretary of the Arch insurance Company, do hereby certify that the attached Power of
Attorney dated March 11, 2003 on behalf of the person(s)as listed above Is a true and correct copy and that the same
has been In full force and effect since the date thereof and is In full force and effect on the date of this certificate; and I do
further certify that the said Thomas P.Luckstone,who executed the Power of Attorney as Vice President,was on the date
of execution of the attached Power of Attorney the duly elected Vice President of the Arch Insurance Company.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the Arch Insurance
Company on this 20th day of October ,2004
Label),Corporate Sectary
This Power of Attorney limits the acts of those named therein to the bonds and undertakings specifically named therein
and they have no authority to bind the Company except in the manner and to the extent herein stated.
Home Office: Kansas City, MO
1 BGO+rrvute
B 5
00ML0013 00 03 03 I sat
Page 2 of 2 C11 Printed in U.S.A.
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Insurance Group
IMPORTANT NOTICE CONCERNING THE TERRORISM RISK
INSURANCE ACT OF 2002
The Terrorism Risk Insurance Act of 2002 establishes a Mechanism by which the federal government will share,
with the insurance industry, in losses arising out of"acts of terrorism" certified as such by the Secrehary of the
Treasury. "Certified acts of terrorism"are defined as events that cause more than$5 million in losses and:
1. Are violent or dangerous to human life,property;or the infrastructure,
2. Result in damage within the United Stales, on a United States mission, or to a United States aircraft or
vessel; and
3. Are committed by individuals, acting on behalf of foreign persons or interests, as part of en effort to coerce.
the civilian population of the United States or to influence the policies or conduct of the United States
Government.
The Act specifies that coverage for"certified acts of terrorism" must be made available in commercial property
and casualty policies of insurance, and it requires insurers to disclose any applicable premium_charges and the
federal share of compensation.We are making these disclosures in strict compliance with the Act.
Disclosure of Availability of Coverage for Terrorism Losses
Coverage for lossos resulting from"oartifred.ac#s of terrorism"Is being made available to you on terms,amounts,
and limitations generally applicable to losses resulting from perils other than acts of terrorism.
Disclosure of Federal Share of Compensation for Terrorism Losses
The federal government will pay a 90% share of en insurer's terrorism losses once the insurer has satisfied a
significant aggregate annual deductible. For terrorism losses occurring in 2002, that deductible is 1% 01 the
insurer's 2001 direct earned premium. For losses occurring in 2003, 2004 and 2005, the annual Insurer
deductibles are 7%, 10% and 15% of the prior year's direct earned premium, respectively.The Act provides that
neither insurers nor the federal government are responsible for losses associated with"certified acts of terrorism"
once aggregate annual insured losses exceed$100 billion.
Disclosure of Terrorism Insurance Premium
Your Bond premium charge for"certified acts of terrorism"coverage is$0.
SR 80 37 (Ed. 11 02) Page 1 of 1 Printed in U.S.A.
U.S. Postal Servicerm
m CERTIFIED MAIL.. RECEIPT
M (Domestic Mail Only;No Insurance Coverage Provided)
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p Certified Fee �DII
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p Return Receipt Fee t�P(/1 '
(Endorsement Required) '
fpU Re orsemcted Delivery Requ Fee
(Endorsement Required)
rl Total Postage&Fees $,P
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p Sept To
CI 1/714 1 4IDA-Aziez____,Ilonieszeiss_stigi:ces
or PO Box No.P 0, leak/k„5—• /‘2D
City,State, W4-4
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S F.rm 3:0 r.June 2^L2 See ¢verse i.r Instructi ns
SEN•E': Csh7•LETS THIS SECTI•N Coat-ierr iti�s yFclton ory DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery Is desired.
• Print your name and address on the reverse X '
so that we can return the card to you. �, %,- for ProCotu dressee
• Attach this card to the back of the mailplece, B. Received by(Printed Nan g) p We o•Deli
very
or on the front if space permits. Julio Del Valle F F B U 4J LL 11
1. Article Addressed to: D. Is deliveryaddress different from item 1? O Yes
r�� If YES,enter delivery address below: ❑No
l /1,'//Aria 144 a-
/1O/1//e "Asir rota-t>ry ees
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R&4 z 596 76 3. Sery Type
CJ erttied Mall ❑Express Mall
��vre/es 1 w 9€ s / Registered gili tum Receipt for Merchandise
7� �� ❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article Number
Munn service ) 7005 1820 0003 5224 8331
PS Form 3811,February 2004 Domestic Return Receipt
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