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Home My WebLink About20080095.tiff • DEETMENT OF PLANNING SERVICES Q NORTH OFFICE 918 10TH Street • GR ELEY,3-610 CO 80631 PHONE: (970) 353-6100, Ext. 3540 FAX: (970)1- Ill; SOUTHWEST OFFICE WI I P O 4209 CR LONGMONT, COC 80504 PHONE: (720) 652-4210, Ext. 8730 COLORADO FAX: (720)652-4211 January 24, 2006 NOTICE TO SURROUNDING PROPERTY/MINERAL INTEREST OWNERS CASE NUMBER: USR-1546 There will be a Public Hearing before the Weld County Planning Commission on Tuesday,April 4, 2006, at 1:30 p.m., in the Hearing Room, Weld County Planning Department, 918 10'" Street, Greeley, Colorado concerning the request of: NAME: J&M Partnership FOR: A Site Specific Development Plan and Special Review Permit for uses permitted as a Use by Right, Accessory Use or Use by Special Review in the Commercial or Industrial Zone District (Parking of trucks, trailers, semi-trailers, recreational vehicles, construction equipment and farm equipment. Warehousing and storage of equipment, machinery and agricultural supplies. Minor assembling. • Repairing manufacturing,fabricating of agricultural supplies and equipment. All may be for wholesale or retail for sale or lease to the general public.) In the A(Agricultural)Zone District. LEGAL DESCRIPTION: Part of the SW4 of Section 20, T6N, R65W of the 6th P.M., Weld County, Colorado. LOCATION: East of and adjacent to CR 39 and north of and adjacent to CR 66. Your property is within five-hundred (500) feet of the property on which this request has been made or you may have an interest in the minerals located under the property. For additional information write or telephone Sheri Lockman, Planner. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 918 10'"Street, Greeley, Colorado 80631, on or before the date of public hearing. For your convenience, the Department of Planning Services has instituted a Planning Commission Agenda Phone Line. In some circumstances cases need to be continued to a later date. To ensure that this case is being heard, you may call 970-304-6499, up to the day of the scheduled hearing for this information. • 2008-0095 • • CERTIFICATE OF MAILING The undersigned hereby certifies that a true and correct copy of the foregoing Notice of Hearing, Case • Number USR-1546 was placed in the United States Mail, first class mail, postage prepaid, addressed to the following properties. Dated the 3rd day of March, 2006 Voneen Macklin Recording Secretary for Planning Commission SURROUNDING PROPERTY OWNERS MINERAL INTEREST OWNERS ADAMS WILMA MONSON BROS PO BOX 29 1 JOE P. MARTINEZ LANE LUCERNE CO 80646 AULT CO 80610 AGLAND PETROLEUM DEVELOPMENT PO BOX 338 2970 291" STREET EATON CO 80615 GREELEY CO 80631 HOSHIKO FARMS 28607 CR 50 KERSEY CO 80644 HUNGENBERGER DONALD 976 N BALSAM AVE GREELEY CO 80631 • J&M PARTNERSHIP C/O MONSON BROTHERS 1 JOE MARTINEZ LANE AULT CO 80610 MORO FARMS 255 CHERRY AVE EATON CO 80615 REINKE GARY 19503 CR 66 GREELEY CO 80631 WSW INC PO BOX 1290 GREELEY CO 80632 • • • DE•TMENT OF PLANNING SERVICES a NORTH OFFICE 918 1 Street 44 CO80631• GREELEY, 3540 11-6498 Q 'ACE tin, 124.5 "ilk 88730 COLORADO d� 4211 ° January24, 2006 go NOTICE TO SURROUNDING PROPER1 Weld County Planning Department CASE NUMBER: USR-1546 GREELEY OFFICE There will be a Public Hearing before the MAR X 8 :2006 1 in t the Hearing Room, Weld C RECEIVED concerning the request of: NAME: J&M Partnership 1> FOR: A Site Specific Development Plar �:' Accessory Use or Use by Specia s { trucks, trailers, semi-trailers, rec g Warehousing and storage of eqi Ir�St • Repairing manufacturing,fabricat F17 or retail for sale or lease to the ge LEGAL DESCRIPTION: Part of the SI �� O by Colorado. Ct trl H c) O LOCATION: East of and adjacent to CR: ,.< �x 2 Your property is within five-hundred (500) = O may have an interest in the minerals locate E Sheri Lockman, Planner. O H trl C — Cif r Comments or objections related to the a O Z PRESORTED Department of Planning Services, 918 10' _ '0 FIRST CLASS hearing. _r. 4 = m a 4'.1 tAfTa For your convenience, the Department of = y ti �b A Phone Line. In some circumstances case = at �'. L r. r. i•i;;• being heard, you may call 970-304-6499, —' la ;G:i cit..Lc �rf til7. *, ;Isar- UN% 2_wD ez S� O N .: ONlo 4 N N � C as Ili • 0AO , °m7,O m w, o O NN 1111 . m 2(.0 " - W v 0 AFFIDAVIT OF INTERESTED LAND OWNERS Page 1 oft AFFIDAVIT OF INTERESTED LAND OWNERS • SURFACE ESTATE Subject Parcel: 080320000017 THE UNDERSIGNED, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate) within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled from the records of the Weld County Assessor was assembled within thirty days of the application's submission date. ignature Prlwl, / ��07 Date Property Owners Within 500 ft. of Parcel# 080320000017 NAME MAILING ADDRESS PARCEL IDENTIFICATION • ADAMS WILMA J REVOCABLE PO BOX 29 TRUST 080320000050 LUCERNE,CO 80646 POBOX29 ADAMS WILMA J TRUST 080320000051 LUCERNE,CO 80646 PO BOX 29 ADAMS WILMA J TRUST 080320000053 LUCERNE,CO 80646 PO BOX 29 ADAMS WILMA J TRUST 080320400054 LUCERNE,CO 80646 P O BOX 338 AGLAND INC 080319000043 EATON,CO 80615 PO BOX 338 AGLAND INCORPORATED 080319000034 EATON,CO 80615-0338 PO BOX 119 HOSHIKO FARMS INC 080329000014 ICERSEY,CO 80644 PO BOX 119 • HOSHIKO FARMS INC 080329000080 KERSEY,CO 80644 PO BOX 119 http://maps2.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=080320000017&P... 12/19/2007 AFFIDAVIT OF INTERESTED LAND OWNERS Page 2 of 2 OSHIKO FARMS INC 080330000090 KERSEY,CO 80644 • UNGENBERG DONALD E (1/2 INT) & 976 N BALSAM AV 080320000023 dditional Owners: GREELEY,CO 80631 UNGENBERG BEATRICE L (1/2 INT) C/O MONSON BROTHERS & M PARTNERSHIP 1 JOE P MARTINEZ 080319400049 LANE AULT,CO 80610 255 CHERRY AVE ORO FARMS INC 080320000057 EATON,CO 80615-3635 19503 CR 66 EINKE GARY W 080320000056 GREELEY,CO 80631 P O BOX 1290 S W INC 080329000017 GREELEY,CO 80632 • • http://maps2.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=080320000017&P... 12/19/2007 Identify Results Page 1 of 1 Oil Valuation Account#: O2992504 Parcel#: 080320000017 • Owners Name&Address: Property Address: DCP MIDSTREAM LP Street: PROPERTY TAX DIVISION City: PO BOX 1642 HOUSTON, TX 77251-1642 Business/Complex: Legal Description SW4 20 6 65 PIPELINE CONNECT MONSON 14-20/24-20/13/23-20 Land Value $0 Land Assessed Value $0 Impr. Value V Impr. Assessed Value V Total Value $0 Total Assessed Value $0 Total Taxes: $0.00 Amount Due: $0.00 Tax Area: Bordering County: Township Range Section Quart. Sec. Subdivison Name Block# Lot_#. 06 - 65 - 20 -0 - - Acres: Sq. Ft.: Sale Price Sale Date Deed Tvoe Reception # $0 • • http://maps2.merrick.com/Website/Weld/setSgl.asp?cmd=accdet&acct=O2992504&type... 12/19/2007 Identify Results Page 1 of 1 Oil Valuation Account#: O2911904 Parcel#: 080320000017 Owners Name&Address: Property Address: PETROLEUM DEVELOPMENT CORP Street: C/O LOGAN & FIRMINE INC City: 3615 S HURON ST STE 200 ENGLEWOOD, CO 80110 Business/Complex: Legal Description LEASEHOLD INT SE4SW4 20 6 65 MONSON 24-20 Land Value $160,563 Land Assessed Value $140,500 Impr Value Impr. Assessed Value V Total Value $160,563 Total Assessed Value $140,500 Total Taxes: $13,182.54 Amount Due: $0.00 Tax Area: Bordering County: Township Range Section Quart.Sec. Subdivison Name Block# Lot# 06 - 65 - 20 -0 - - Acres: Sq. Ft.: Sale Price Sale Date Deed Type Reception # $0 . • http://maps2.merrick.com/Website/Weld/setSgl.asp?cmd=accdet&acct=O2911904&type... 12/19/2007 • • AFFIDAVIT OF INTEREST OWNERS • SURFACE ESTATE Property Legal Description: SW4 of Section 20, Township 6 North, Range 65 West of the 6th P.M. , excepting the Free Church Lateral Ditch by Deed recorded October 26, 1945 in Book 1163 at page 507, and Weld County Road 39. Parcel Number 0 8 0 3 - 2 0 - 0 - 0 0 - 0 1 7 (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us). (Include all lots being included in the application area, If additional space is required,attach an additional sheet) THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners'of property(the surface estate)within five hundred(500)feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or a person qualified to do the task, and shall be current as of a date no more than thirty(30) days prior to the date the application is submitted to the Department of Planning Services. • By: A. Bruce J son Title: Authorized Agent The foregoing instrument was subscribed and sworn to me this RIM day of l3CCember , 0P O3 WITNESS my hand and official seal. My Commission Expires:Maf[h 15 t a DCA O a •.......... JENELL£ BELLEW Notary Public JFO. C�` nelle Bellew • -12- AFFIDAVIT OF INTERESTED LAND OWNERS rage i ui L • • AFFIDAVIT OF INTERESTED LAND OWNERS • SURFACE ESTATE Subject Parcel: 080320000017 THE UNDERSIGNED, states that to the best of his or her knowledge the attached list is a true and accurate list of the names, addresses, and the corresponding Parcel Identification Number assigned by the Weld County Assessor of the owners of the property (the surface estate)within 500 feet of the property being considered. This list was compiled utilizing the records of the Weld County Assessor available on the Weld County Internet Mapping site, http://www.co.weld.co.us, and has not been modified from the original. The list compiled from the records of the Weld County Assessor was assembled within thirty days of the application's submission date. Signature Date Property Owners Within 500 ft. of Parcel# 080320000017 NAME MAILING ADDRESS PARCEL IDENTIFICATION • ADAMS WILMA J REVOCABLE PO BOX 29 TRUST 080320000050 LUCERNE,CO 80646 P O BOX 29 ADAMS WILMA J TRUST 080320000051 LUCERNE,CO 80646 PO BOX 29 ADAMS WILMA J TRUST 080320000053 LUCERNE,CO 80646 PO BOX 29 ADAMS WILMA J TRUST 080320400054 LUCERNE,CO 80646 P O BOX 338 AGLAND INC 080319000043 EATON,CO 80615 P O BOX 338 AGLAND INCORPORATED 080319000034 EATON,CO 80615-0338 28607 WELD CO RD 50 HOSHIKO FARMS INC 080329000014 KERSEY,CO 80644 28607 WELD CO RD 50 • HOSHIKO FARMS INC 080329000080 KERSEY,CO 80644 28607 COUNTY ROAD 50 Sxx be.Not? http://maps.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=080320000017&Par... 11/29/2005 AFFIDAVIT OF INTERESTED LAND OWNERS rage L 01 2. • • HOSHIKO FARMS INC Sip D7 t^ gel 50 080330000090 KERSEY,CO 80644 • HUNGENBERG DONALD E (1/2 INT) 976 N BALSAM AV & 080320000023 GREELEY,CO 80631 C/O MONSON BROTHERS J& M PARTNERSHIP 1 JOE P MARTINEZ 080319400049 LANE AULT,CO 80610 255 CHERRY AVE MORO FARMS INC 080320000057 EATON,CO 80615-3635 19503 COUNTY RD 66 REINKE GARY W 080320000056 GREELEY,CO 80631 P O BOX 1290 W S W INC 080329000017 GREELEY,CO 80632 • • http://maps.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=080320000017&Par... 11/29/2005 AFFIDAVIT OF INTEREST OWNERS • MINERALS AND/OR SUBSURFACE Property Legal Description: SW4 of Section 20, Township 6 North, Range 65 West of the 6th P.M. , excepting the Free Church Lateral Ditch by Deed recorded October 26. 1945 in Book 1163 at page 507, and Weld County Road 39. Parcel Number 0 8 0 3 - 2 0 - 0 - 0 0 - 0 1 7 (12 digit number-found on Tax I.D. information,obtainable at the Weld County Assessor's Office,or www.co.weld.co.us). (Include all lots being included in the application area, If additional space is required,attach an additional sheet) STATE OF COLORADO ) ss. COUNTY OF WELD THE UNDERSIGNED, being first duly sworn, states that to the best of his or her knowledge, the attached list is a true and accurate list of the names and addresses of all mineral owners and lessees of mineral owners on or under the parcel of land being considered. The list shall be prepared from the real property records by a person qualified to do the task, and shall be current as of a date more than thirty(30) days prior to the date the application • is submitted to the Department of Planning Services. Note:Mineral Notification is in addition to that required by C.R.S. 24-65.5-102 through 104. f By: race inson Title: Authorized Agent The foregoing instrument was subscribed and sworn to me this IlLFh day of 1 tC rnbcr , at>tTh. WITNESS my hand and official i seal. My Commission Expires:)ff 1 ,QL'& 15) @Opt ' Notary Public JENELLE BEELEW enelle Bellew 9lf OF cot°Q@ • • -13- aNA Duke reEnergy® • • Field Services • DIVISION ORDER Lease Number: 584889A 6cc Attached Loose Name; Monson 23.20 County/State: Weld County, Colorado Operator: Petroleum Development Corp • Effective Date: 10/01/03 • Owner Number, See Exhibit A Owner Tax ID: Interest Type: See Exhibit A Decimal Interest: See Exhibit A Taxes: • Properly Description: Township 6 North, Range 65 West Section 20:SW Documentation: • • The understand certifies the ownership of the decimal interact In production or proceeds as described above payable by Oultc Energy field Services.LP("DEFS"). DEFS shall be notified, in writing,of any change in ownership, decimal interest, or payment address. All such changes shall be effective the rust day of the niunut following receipt or such notice. DEFS Is authorized to withhold payment pending resolution of a title dispute or adverse claim asserted regarding Interest in production claimed herein by the undersigned. The undersigned agrcca to indemnify and reimburse DEES any muuuut attributable to an interest the • undersigned does not own. DEFS may accrue proceeds until the total amount equals $25.00 or pay annually, whichever nrrnrs first or as required by applicable state statute. • This Division Order does not amend any lease or operating agreement between the undersigned and the lessee or operator or any other • cantraol:for thc purchase of oil or gas- . In addition to the terms and conditions of this Division Order,the undersigned and DEFS may have certain statutory rights under the laws of the-slate In which htthe �property Is located • • /lA iri / JM /0l rIm e2. /a netts)SI naturals) Witness Address If different from bove /psi • alt • k) fr, �Ua �IPr AI& as 6 / 6 Witness CA,scats,Zip Code ewner-Icome Phone9 - 2. Tax ID If different from above OwtyerWork Phone#-- E-mail Address . • Federal Law requires you to furnish your Social Security or Taxpayer Identification Number. Failure to comply will result in 28%tax withholding and will not be refundable by Duke Energy Field Services,LP. • Return to: Duke Energy Field Services,LP Dale Prepared: 11/26/03 PO Box 5493 Prcporcd by: Libby Ccord • • Denver,CO 80217-5493 Direct:303-605-1896 303-595-3331 Fax: 303.605.2230 • • COPY 90 39Cd 9NId33N>1OOEfilDV L9LT E80L6 0SiE0 900L/93/II • Exhibit A • 584889A MONSON 23-20 Decimal Inflated Owner no. Credit to Type Interest Interest 192747 MONSON PROS CO RI 0 . 20000000 ' moo 173668 PETROLEUM DEVELOPMENT CORP WI 0 . 80000000 • • PAGE : 1 L0 39dd 9NId33>1)100811fl L9LIPESOL6 05 :E0 S00Z/SZ/L1 Mar 01 06 ❑5: 19p Bruce Johnson 970 352 8761 p. 3 • • a. bruce �J9ON & ASSOCIATESe 220 8018th Street 356-6110 Greeley,Colorado 80631 LAND RESOURCE SPECIALISTS "`°" FAX 970 352-8761 February 23, 2006 Monson Bros. Co. 1 Joe P. Martinez Lane Ault, Colorado 80610 Petroleum Development Corp. 2970 29th Street Greeley, Colorado 80631 Dear Mineral Owner, J&M Partnership has made an application for a Use by Special Review(USR) with the Weld County Department of Planning Services. This letter is to service you notice under Colorado Revised Statute, C.R.S. 24-65.5-103 (adopted as part ofH.B.01-1088). Subject USR is located in the southwest corner of the SW % Section 20, Township 6 North, Range 65 West of the 6th P.M., Weld County Colorado. It is located at the northeast • corner of WCR 41 and WCR 66, Parcel No. 080320000017. Comments or questions may be directed to Sheri Lockman, Planner, Department of Planning Services, 918 10th Street, Greeley, Colorado 80631, telephone (970) 353-6100 ext. 13540, or fax (970) 304-6498 or to me at the above address. The Planning Commission meeting to review this matter is set for April 4, 2006 at 1:30 p.m. The location is the Hearing Room at the Weld County Planning Department, 918 10th Street, Greeley, Colorado. Sincerely, A. Bruce Johnson Agent for J& M Partnership ABJ/jb Colorado-Nebraska-Wyoming • Farm&Ranch • Water Sales • Exchanges • Minerals • Consulting Mar 01 06 05: 19p Bruce Johnson 970 352 8751 p. 2 • • a. bruce I2!! !PN & r 8th Street-Suite 220 1 Greeley, Colorado 80631 ASSOCIATES c® (970)356-6110 LAND RESOURCE SPECIALISTS FAX 970 352-8761 February 23, 2006 Monson Bros. Co. 1 Joe P. Martinez Lane Ault, Colorado 80610 Petroleum Development Corp. 2970 29th Street Greeley, Colorado 80631 Dear Mineral Owner, I& M Partnership has made an application for a Use by Special Review(USR) with the Weld County Department of Planning Services. This letter is to service you notice under Colorado Revised Statute, C.R.S. 24-65.5-103 (adopted as part ofH.B.01-1088). Subject USR is located in the southwest corner of the SW '/< Section 20, Township 6 North, Range 65 West of the 6th P.M., Weld County Colorado. It is located at the northeast . corner of WCR 41 and WCR 66, Parcel No. 080320000017. Comments or questions may be directed to Sheri Lockman, Planner, Department of Planning Services, 918 10th Street, Greeley, Colorado 80631, telephone(970) 353-6100 ext. 13540, or fax (970) 304-6498 or to me at the above address. The Planning Commission meeting to review this matter is set for April 4, 2006 at 1:30 p.m. The location is the Hearing Room at the Weld County Planning Department, 918 10th Street, Greeley, Colorado. Sincerely, A. Bruce Johnson Agent for J& M Partnership ABJ/jb _ Colorado-Nebraska-Wyoming • Farm&Ranch • Water Sales • Exchanges • Minerals • Consulting Mar 21 06 10: 37a Bruce Johnson 970 352 8761 p. l • • jdiT&soN �/•�ry///.��y. uite 631& ASSOCIATES`��S ® Cr Greeley,Colorado 80631 AND RESOURCE SPECIALISTS 'w1' F `9'°'35z-g'6� Fax Transmittal Sheet 9); � '�` 14 Number of pages (including cover sheet) DATE: L/ —EJ (7 TO: at(.4t,v f Qkv COMPANY:- Piet4m 4,,, 6444 FAX #: - Gt/ 91 From: A. Bruce Johnson & Associates, LTD —Fax (970) 352-8761 MESSAGE ey,��/�t 11(�/��'-, (� �,/ �� • �J If you experience trouble with this transmission, please call as soon as possible This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient,or the employee or agent responsible for delivering to the intended recipient,you are hereby notified that any dissemination,distribution or copying of this communication is strictly prohibited. If you have received this communication in error,please notify us immediately by telephone, and return the original message to us at the address above via U.S. Postal Service. Colorado-Nebraska-Wyoming • lams, &Ranch • Water Sales • Exchanges • Minerals • Consulting Mar 21 09 10: 38a Bruce Johnson 970 352 8761 p. 2 . SEN•E': CAM•LETETH/S SECT/•N C•M-LETE THIS SECT!•N •N .ELIVE•V IIComplete Items 1,2,and 3.Also complete A. Si -at - "Cr- Item 4 if Restricted Delivery is desired, �, • Print your name and address on the reverse XAge so that we can return the card to you. -ZI�Ga )-41441-r-- 0 Ado • • Attach this card to the beck of the mailpiece, 0 ,:carved b (P!.-d N: e) C. Date of or on the front If space permits. r V ( — _i- 1. Article Addressed to: D. Is delivery address different from item 1? ■ Yes �_ If YES,enter delivery address below: �1 No a'N calAl1."c 151.s,,k Ar_v�h il.: 1. T (CI(i..• ) v (cy`_ C,� �.. ..l.L`t>,;:::-‘ 3. Service Type C. ,'&Certified Mail ❑ Express Mall ❑Registered 0 Return Receipt for Merche ❑Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number • (Transfer from service label) 7004 0750 0001 9057 6535 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-, SENSE': C•M•LETETHISSECT!•N C•M•LETETHISSECTI•N •N•ELIVCRY ■ Complete items 1,2,and 3.Aide complete X slsrlyture/ � Item 4 it Restricted Delivery is desired. , I J • Print your name and address on the reverse ,�/ ❑Agent so that we can return the card to you. ` ■ Addre • Attach this card to the back of the mailpiece, /D Recelve•b ?Printed C. Date of tie or on the front if space permits. .!a . CG(/ i tie - "o! 1. Article Addressed to: D. Is delivery address differ° from item 1? ❑ Yes If YES,enter delivery address below: 0 No • 11 \k-IM- C1, y-C c..)i C . .-Joc_ \ , ll\w'1 trlt_c_ CS:'.' It, \A V\-A7- 1 C..CI Sc',cvv= 3. Service Type a Certified Mail ❑Express Mall ❑Registered ❑ Return Receipt for Merchant ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes 2. Article Number (Transfer from service label) 7.0 0 4 O75O D O❑ PS Form 3811,February 2004 Domestic a rn 1 9 0 5 7 6814 Z-M-1 • 41 SENsE': C•M•LETETHISSECTI•N CAM LETETHISSECTI•N •N •EL/VE•Y • Complete items 1,2,and 3.Also complete A S':ne rte " item 4 if Restricted Delivery is desired. f�Agent • Print your name and address on the reverse X i O Addressee so that we can return the card to you. B • elver]by( tinted Name) G ate of Delivery • Attach this card to the back of the mailpiece, r. c4ce a - or on the front if space permits. r-C D. Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter delivery address below: i No eR ,ro a ) • Care • 5g)I C� €V l.tV t ,�/1.,1) 3. Service Type � edified Mail O Express Mail Registered O Return Receipt for Merchandise O Insured Mall O C.O.D. 5!J , 4. Restricted Delivery?(Extra Fee) O Yes 2. Article Number (Transfer from service label) 7005 1160 0001 4537 7090 PS Form 3811,February 2004 Domestic Retum Receipt 1025asa2-M-1540 u.s. Postal ServiceTM o .RTIFIED MAIL.M RECEIPT lriomestic Mall Only;No Insurance Coverage Provir' ~ F•r•elivery inf•rmati•nvisit•urwe•siteat www.us•s.c T� Postage $ r'H Certified Fee OO Postmark Return Receipt Fee Here O (Endorsement Required) p (Endorsement Delivery Required) - c ( rt Restricted DtRegyiree m rR Total Postage&Fees $ Sent To Corp y� w.�, r_ Street,Apt N. \ 31'1 arPoSox No. a.l City,State,ZIPF4 PS Form 3800.June 2002 See Reverse for Instructions • Hello