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Home My WebLink About20042964.tiff DEPARTMENT OF PLANNING SERVICES WI I PHONE (970) 353-6100, EXT.3540 FAX (970) 304-6498 (Co 1555 N. 17TH AVENUE GREELEY, COLORADO 80631 COLORAD April 29, 2004 TO: SURROUNDING PROPERTY/MINERAL OWNERS CASE NUMBER: USR-1474 There will be a Public Hearing before the Weld County Planning Commission on Tuesday, June 1, 2004, at 1:30 p.m., in Room 210, Weld County Planning Department, 1555 N. 17th Avenue, Greeley, Colorado concerning the request of: NAME: Gary& Carol Vander Wal FOR: All cases scheduled before the Planning Commission for hearing are subject to continuance, due to lack of quorum or otherwise. Contact the Department of Planning Services at(970) 353-6100, ext. 3540, for hearing continuance information. LEGAL DESCRIPTION: Lot B RE-2208; Pt of the SE4 Section 9,T5N, R64W of the 6th P.M.,Weld County, Colorado. LOCATION: South of and adjacent to CR 388; 1/2 mile east of State Hwy 37. 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 Michelle Katyryniuk, Planner. Comments or objections related to the above request should be submitted in writing to the Weld County Department of Planning Services, 1555 N. 17th Avenue, 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. 2004-2964 SURROUNDING PROPERTY OWNERS AND/OR SUBSURFACE ESTATES/INTEREST OWNER ROHN 2166 30TH APT 731 GREELEY CO 80632 CERTIFICATE OF MAILING I hereby certify that I have placed a true and correct copy of the surrounding property owners and owners and lessees of minerals in accordance with the notification requirements of Weld County in Case Number USR- 1474in the United States Mail,postage prepaid First Class Mail by letter as addressed on the attached list this 20TH day of MAY, 2004. Voneen Macklin SURROUNDING PROPERTY OWNERS AND/OR SUBSURFACE ESTATES/INTEREST OWNER Surface Owners BOND ✓BOND 26531 CR 388 26421 CR 388 KERSEY CO 80644 KERSEY CO 80644 BOND VbAUER 26421 CR 388 118 VAN BUREN STREET KERSEY CO 80644 TAFT CA 53268 CLARK VBRUNTZ 26451 CR 388 12801 CR 64 1/2 KERSEY CO 80644 GREELEY CO 80631 COLORADO STATE /C6LEPHE CLt RA< EXEMPT 6472 OW ENS ST ARVADA CO 80004 HARDEN 26638 CR 388 VDILKA KERSEY CO 80644 PO BOX 83 KERSEY CO 80644 HOWARD 26746 CR 388 KLEIN✓ KERSEY CO 80644 28465 CR 49 Y/ bReele.. cc 'Lt3/ KLEIN ✓REIN 27974 HWY 37 215 N WALNUT KERSEY CO 80644 GREENSBURG KS 67054 MATHIS %/(LEIN PO BOX 445 27974 STATE HWY 37 KERSEY CO 80644 KERSEY CO 80644 MCCLURE ✓MCCARTHY 26849 CR 388 23010 CR 17 KERSEY CO 80644 LASALLE CO 80645 WILLIAMS PETERSON 26591 CR 388 36565 CR 80 KERSEY CO 80644 BRIGGSDALE CO 80611 WILLIAMS ✓ROHN 26587 CR 388 4815 W 6TH ST. RD KERSEY CO 80644 GREELEY CO 80634 MINERAL OWNERS "lREICHERT 2119 11T" ST /PRIMA OIL GREELEY CO 80631 1099 18TH STREET STE 400 DENVER CO 80202 ✓ROHN 40396 CR 37 ✓PLATTE VALLEY MGT CO AULT CO 80610 PO BOX 8926 DENVER CO 80201 VROHN PO BOX 1445 /BASSETT AULT CO 80610 3031 SUNSET DR EVANS CO 80620 ✓LOUNDER 2113 ATCHINSON AVE CERTIFICATE OF MAILING LAWRENCE KS 66047 I hereby certify that I have placed a true and 4/ILLIAMS correct copy of the surrounding property owners 26587 CR 388 and owners and lessees of minerals in accordance KERSEY CO 80644 with the notification requirements of Weld County in Case Number USR-1474 in the United States ✓BERRYMAN Mail, postage prepaid First Class Mail by letter as PO BOX 525 addressed on the attached list this 12TH day of KERSEY CO 80644 APRIL, 2004. fl-TARRING 3517 SEELEY COURT GREELEY CO 80631 \ `1 1 n (7 V ✓ROHN V�IILL 1� al �L 1134 COUNTRY ACRES DRIVE Voneen Macklin JOHNSTOWN, CO 80534 /ROHN 530 10TH AVE APT 206 GREELEY CO 80631 VROHN 710 TAYLOR STREET STERLING CO 80751 VHARDEN 26638 CR 388 KERSEY CO 80644 ✓GREENE PO BOX 1247 FORT MORGAN CO 80731 4/ILLIAMS 26491 CR 388 KERSEY CO 80644 ✓WESCH 2400 MISSLE DRIVE#2 CHEYENNE WYO 82001 SCHNEIDER 24987 CR 25 MILLIKEN CO 80543 CLARK 26481 CR 388 KERSEY CO 80644 •JMCCLURE 26549 CR 388 KERSEY CO 80644 Bonnie Rohn 530 10th Ave. Apt. 206 Greeley, CO 80631 John F. Rohn 710 Taylor Street Sterling, CO 80751 David A. Rohn Sr. ( 5` C C^1l 2166 30'h Street Apt. 731 Greeley, CO 80632 Donald J. Harden Patricia Suzette Harden 26638 WCR 388 Kersey, CO 80644 Ron M. Greene Gayle R. Greene P.O. Box 1247 Fort Morgan, CO 80731 Erich J. P. Williams Elizabeth C. Williams 26591 WCR 388 Kersey, CO 80644 Linda R. Wesch 2400 Missile Drive#2 Cheyenne, WY 82001 Marilyn Joann Schneider 24987 WCR 25 Milliken. CO 80543 Phillip E. Clark Michelle M. Clark 26451 WCR 388 Kersey, CO 80644 Terry Ray McClure Bonnie Sue McClure 26549 WCR 388 Kersey, CO 80644 Norman C. Peterson Margaret J. Peterson 36565 WCR 80 Briggsdale, CO 80611 Reinholdt Rohn 4815 W. 6th Street Road Greeley, CO 80634 Elsie Reichert 2119 11th. St. Greeley, CO 80631 Donald E. Rohn 40396 WCR 37 Ault, CO 80610 Harry Rohn P.O. Box 1445 Ault, CO 80610 Bertha Lounder Bertha Rusch 2113 Atchinson Ave. Lawrence, KS 66047 Patrick Lee Williams Kay Louise Williams 26587 WCR 388 Kersey, CO 80644 Kathleen L. Berryman PO Box 525 Kersey, CO 80644 Billy A. Harring James E. Harring 3517 Seeley Court Greeley, CO 80631 Arylse R. Rohn 1134 Country Acres Drive Johnstown, CO 80534 AFFIDAVIT OF INTERESTED LAND OWNERS Page 1 of 2 AFFIDAVIT OF INTERESTED LAND OWNERS SURFACE ESTATE Subject Parcel: 096309000057 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 Coun Assessor was assembled within thirty days of the application's submission date. 16,446 alto f Signature Date Property Owners Within S00 ft. of Parcel# 096309000057 NAME MAILING ADDRESS PARCEL IDENTIFICATION# 26531 WELD CO RD BOND DAVID A 388 096309000073 ICERSEY,C0 80644 26421 WCR 388 BOND JESS L& IRENE G 096309000074 ICERSEY,CO 80644 26421 WELD CO RD BOND JESS L& IRENE G 388 096309000063 ICERSEY,CO 80644 26451 WELD CO RD CLARK PHILIP E&MICHELLE M 388 096309000019 KERSEY,CO 80644 COLORADO STATE OF 096316000003 EXEMPT, 26638 WELD CO RD HARDEN DONALD JAMES& PATRICIA 388 096309000058 SUZETTE ICERSEY,CO 80644 26746 COUNTY RD HOWARD PAMELA A& 388 096309000054 http://maps.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=096309000057&Part... 3/22/2004 AFFIDAVIT OF INTERESTED LAND OWNERS Page 2 of 2 KERSEY,CO 80644 27974 HWY 37 KLEIN WILLIAM T 096309000023 KERSEY,CO 80644 27974 HWY 37 KLEIN WILLIAM T 096309000016 KERSEY,CO 80644 PO BOX 445 MATHIS PHILIP A 096309000064 KERSEY,CO 80644 26849 WELD CO RD MC CLURE TERRY RAY& BONNIE SUE 388 096309000056 KERSEY,CO 80644 26591 WELD CO RD WILLIAMS ERICH J F &ELIZABETH D 388 096309000001 KERSEY,CO 80644 26587 WELD CO RD WILLIAMS PATRICK LEE & KAY LOUISE 388 096309000002 KERSEY,CO 80644 http://maps.merrick.com/website/weld/setSgl.asp?cmd=buffer&PIN=096309000057&Par 1... 3/22/2004 AFFIDAVIT OF INTEREST OWNERS MINERALS AND/OR SUBSURFACE Property Legal Description: 9017A PT 554 9.5.64 LOT B RAC EXEMPT RE-2208 MA BEG 53070.67' FROM N4 COR 562013'E 790.45'SOD06'E 626.06' 562D13'E 330'50D06'E 1038.26' N56014'W 1196.42' N1521.33'TO BEG SITUS: 26500 388 CR KERSEY Parcel Number V I &' 3 _ 09 0 0 5 • (12 digit number-found on Tax I.D.information,obtainable at the Weld County Assessors 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. By: &lie 11 f.L4LA“ w1-. Title: 0-60(1-00 OA ad 2 c$ ' ' , 2 The foregoing instrument was subscribed and sworn to me this I 5 day of I� WITNESS my hand and official seal. My Commission Expires: la ACO7 l Athth dia a- Notary Public -13- Mineral rights Lesse Prima Oil & Gas Company 1099 18th Street, Suite 400 Denver, CO 80202 -- Mineral right lessors Platte Valley Management Company P.O. Box 8926 Denver, CO 80201-8926 Virginia May Bassett 3031 Sunset Dr. Evans, CO 80620 Jess L. Bond Irene G. Bond 26421 WCR 388 Kersey, CO 80644 • Harold Walter Bauer 118 Van Buren Street Taft, CA 53268 Esther Bruntz 12801 WCR 64 'A Greeley, CO 80631 NEsther J. Clerk 6472 Owens St. Arvada, CO 80004 Freida Dilka P. O. Box 83 Kersey, CO 80644 James D. Klein 28465 WCR 49 'A Greeley, CO 80631-9748 Ramon V. Klein 215 N. Walnut Greensburg, KS 67054 William Klein 27974 State Hwy. 37 Kersey, CO 80644 Betty Jean Mccarthy 23010 Weld County road 17 Lasalle, CO 80645 Weld County Planning r , , r GREELEY OFFiCF MAY 1 200A RECEIVED May 10, 2004 Weld County Department of Planning Services Attn: Michelle Katyryniuk 1555 N 17th Avenue Greeley, CO 80631 This letter is to inform you that as stated in the Colorado Revised Statute, C.R.S.24-65- 65.5-103 (as adopted as part of H.B. 01-1088), all mineral estate owners have been notified. Sincerely, jut icolit 0.1q Carol VanderWal April 19, 2004 To Whom It May Concern: RE Subject Property: RE Subject Property: Township 5 North, Range 64 West, 6th P.M. Weld County, CO (also known as 26500 WCR 388) This letter is to inform you that we have applied for a Permit of Special Use from Weld County. Weld County has notified us that "It is the applicants responsibility to comply with state statutes regarding notice to mineral estate owners. Colorado revised statute, C.R.S. 24-65.5-103 (adopted as part of H.B. 01-1088) requires notification of all mineral estate owners 30 days prior to any public hearing." A Permit of Special Use is required because we will be operating a dairy equipment service business from the property listed above. In our business, we use the yard for storage of dairy parts and supplies. If you have any questions, please feel free to call (970) 686-7983, or attend the Weld County Meeting on June 1, 2004, at 1:30 p.m. The meeting will take place Weld County Planning Department, 1555 N 17'h Avenue, Greeley. Respectfully, Gary and Carol Vander Wal • ��i 0 M,. (Mb `--30 -011- of m vl 44 as ...vl°, .,r�° ,_ve ?°' � ar ti0,v THIS SECTI•N C•M•LETE THIS SECT/•N •N•ELIVE•Y J° ass PPalraw°La g ePaJrsaPs ldrafia�y� !'r sr 41 0 'l�s b ) , a°71 enlej lla1N 1 .°lsav/°°In as"Ca ,�� d Restricted Delivery Is desired.plate A. 1 re. y'_YF"` l/l,'�Y/J a y�ee1 eas'm'e0edael°1�?u°�/�e°q 4ew 'I,a�„ i .,nt your name and address on the reverse x p J IIr V� h` :, r -id aprno of ue ale 9engdde1senba lsod es 4ly-u ' so that we can return the card to you. B. Received by(Printed Name C. a of Del / '°d pe °I P°/Se%'esps a Pdpd°°b in:-' ■ Attach this card to the back of the mailpiece, �' �cP � i b n "C Pa, °y.f as a or on the front if space permits. cn "' o w /r°Lai yliMW Pelelsrswa��eoe&.1O0018s& D. Is delivery address different 1M�,: I? r=$es/; m A� < ',� '' o y lr�oud�° w/euogeu 0301iond ^'O°N Jo Pay nay su I. Article Addressed to: If YES,enter delivery address,`'7�` ,; W �, c nu— j-I O <ed`CI CD a 3 a • Ws ad✓sse/O 4. 7s'�Wm M Spa,. a el'�2,b eJ ' Donald J& Patricia Suzette Harden 1° S.3 OIQ a CO 3.1 4 . °^4r.,0, ,, as y'Qwoo aq , 26638 WCR 388 m 00 4 ag gii•Wra 92(Hove a/%eq;4 Kersey, CO 80644 v to It frog 3 esa 'ad"aw opaN y 2 .:. O o 3 T.° 3. Service Type m er. ,.... 0, 8rite m ❑Certified Mail ❑Express Mail No g m g. ¢ _ Sap!nD��, ❑Registered ❑Return Receipt for Merchandise o n co D insured Mall D C.O.D. a ON = *2J•r• m 4. Restricted Delivery?(Extra Fee) ❑yes o 5 3.$8 y z. Article Number 7003 1680 0002 2410 5898 0 w ,°c 3 �� z (Dander from service labeq g W g • - < 0 'S Form 3811,February 2004 Domestic Return Receipt 1@595-02-M-1540 3 0 rr2Dd e a � .q.m : •C•M•LETE •THIS SECTI•N •C•M•LETE THIS SECTI•N •N•ELIVE•Y a O a y o °mplete items 1,2,and 3.Also complete A. Signature rail m m item 4 if Restricted Delivery Is desired- I ❑Agent g, c u , 3 /► m s Print your name and address on the reverse X - ` 2�I�L -1■ Addressee 4 ti a . q g YL , - so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery - ' -, R m a ; ,c a g �Il y a Attach this card to the back of the mailpiece, o_ or on the front if space permits. ttY(Y/ I 7i._ E' I m D. Is delivery address different from item 1? ❑Yea �, Vain /�/ y I. Article Addressed to: If YES,enter delivery address below: ❑No MI O y Q�'Ar(< ? • - Harold Walter Bauer _z • £ a I ` z 118 Van Buren Street i �r �ti4 • , Taft, CA 53268 ._ a es �- K • i TI ) 3- Service Type Q ___. Q O\ � 16 t O Q D Certified Mail D Express Mail I �Ot1V_N• i)Q a 8 8 n ❑Registered D Return Receipt for Merchandise # 5j# 1. W a 1 X c7 o ❑Insured Man ❑C.O.D- o 9 4 f m 0 1 4. Restricted Delivery?(Extra Fee) ❑Yes SS �•r� ➢ .I t -C ,. A%c °(Thansfer fraildry/� I 7003 1680 0002 2411 1240 .— ii ar S Form 3811,February 2004 Domestic Return Receipt •• ��1o2596-o2-M-154o l C.444N T o0 m 0 CO As. m � a co TO � CD •'4,3"",'"'.,f and q"� ag,' ;°J` y mo'a�. �a',��orw e 0'9� D a" —_ • iV ��m�a°��ym ° ° i.,.. .!'c Q a. aaQQa, Q¢c Ya ti .£mg`s / ,r j. asne CFI..pm4k Mt. , ,HIS SECTI•N •C•M•LETE THIS SECTI•i, s:: rn a+2"d5. O 6) co ° C•M•LETE THIS SECTI•Nr SLIVE•Y o m - .3• _......,..e? -a:a a a " F. yo S SECTION c iav e'_,ms 1,2,and 3.Also complete - A. Ignature a°'°°m a m4,a•4 Qm``,o''®:�,� eat' r'2,arid 3.Also Complete re ' N� a Restricted Delivery is desired. �,U11 / o�-? 'i '° ''.dieted Delivery is desired. ❑Agent it%.mt your name and address on the reverse �dJK.SJ1Ati_ !• 'a�,o� 4 3 a?a Jr name and address on the reverse X 4 ❑Address( so that we can return the card to you. B. Received by(Printed Name C. Date of , D b'".tat we can return the card to you. eived • I(Pr/7ted� C. Date of Deliver ■ Attach this card to the back of the mallpiece, C /_Q rti t4 l • -, Attach this card to the back of the maitpiece, � /if// U _22_e. or on the front if space permits. V r' or on the front if space permits.I. Article Addressed to: D. Is delivery address different from -. 1? ❑Yes Is delivery address different horn item 1?.ra"TSs If YES,enter delivery address below: ❑No 1. Article Addressed to: If YES,enter delivery address below: ❑No 4R P /9/3 woS�ooc o.— Billy A&James E Herring 47 Ramon V Klein 3517 Seeley Court 2`UUIj I 215 N Walnut ektreha Ceti/ef (0? - Greeley, CO 80631 Greensburg, KS 67054 3. Service Type , 3. Service Type ❑Certified Mail ❑Express Mail ❑Certified Mail ❑Express Malf ❑Registered O Return Receipt for Merchandise ❑Registered ❑Return Receipt for Merchandi: ❑Insured Mail ❑C.O.D. O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) ❑yes 4. Restricted Delivery?(Extra Fee) C 2. Article Number - . (Transfer;trim service late 7003 1680 0002 2411 1172 z. Article Number ! 7003 1680 0002 2411 1080 (Transfer from service late° 'S Form 3811, February 2004 Domestic Return.Receipt ,noses-02-M-154' I PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-ic . ?I 2 0 °m m -mom ri . a m i s-.5 o y m$m$ �a a , ea m a mf"° ° me S ? d'3 l m .c,Pow o Ili m° n THISSECTUN C•M•LETE THIS SECTI•N •N •ELIVE•Y Q C•M LETE?HIS SECTI•N •N •ELIVE•Ya, 4''' r mm $ TE THIS SECTI•N `aa °gc 4-o y .as 1,2,and 3.Also complete A Signature ° y A Signature ❑Agent <.°°ma ,a ,estricted Delivery is desired c r, v •terns 1,2,and3.Also complete f ^a.�, �' X 1 ,. Is desired. - <z`� ��„� ❑ 'dry 'a c o o ,our name and address on the reverse ' d Restricted Delivery C.D - er„� m g o c f that we can return the card to you. d: ed by(Printed N: ) • •-. e rt your name and address on the reverse printed Name) [f 9 . Attach this card to the back of the mailpiece, 5O that we can return the card to you. B. Received ( or on the font If space permits. Attach this card to the back of the mailpiece, D. Is delivery address dltereM tram item I? Yes D. delivery address d' ^ ❑ or on the front if space permits. 1. Article Ad .ned to: y#., It YES, delivery ad , s•a N Addressed to: If YES,enter delivery address below: ❑N° ,� Berth Linda R Wesch Berth under&Bertha Rusch 2400 Missile Drive #2 Atchinson Avenue ! Cheyenne, WY 82001 L 'gnce,KS 66047 3. Service Type 3. ed" ❑ s Mail rtifi❑Certified Mall CI Express Malt ❑Return Receipt tort Merchandise ❑Registered O Return Receipt for Me. CI Registered • ' ❑Insured Mail ❑C.O.D. ❑Insured Mall ❑ Fee) ❑Yes 4. Restricted 4. Restricted Delivery?(Fxba Fee) ❑1 • z..Amda Number i l c� 7003 1680 0002 2411 111❑ 2, Also%µumber. : l 7003 1680 0002 2411 1158 (Transfer(rem sante label! < (fFensfer from service I to2sss-o2-M 1540 , PS Form 3811,February 2004 Domestic Return Receipt lerse5 PS Form 3811, February 2004 Domestic Return Receipt - t• . a.4, i° • m�m es m o g,•PdLlJ4i/iI:IbY•Y4MIl•� �$. �w a n. .mo C•M• E TH/S SECT/• • m° ---,ipso. s c ,flplete items 1,2,and 3.Also complete A. Signature N C r M LETS THIS SECTI•N•N u „ n item 4 if Restricted Delivery is desired. " O Agen ,e Complete items and 3.Also complete A Signature ` • Print your name and address on the reverse X O Addy Item 4 if Restricted Delivery so that we can return the card to you. is desired, ,I y B. °Ned (Print Name) C. a of De • Print your name and address on the reverse _1 ■ Attach this cant to the back of the mailpiece, Ot so that we can return the card to you. �± -- Agent or on the front if space permits. • Attach this card to the back of the mailpiece, Addressee D. delivery different from Item 1 -❑Yes B. Received bye"(py!t°d Name) C. Datae oOf pelivery 1. Article Addressed to:or on the front if space permits. N Or r rytA 1. (j�J ]Gt If YES,enter elivery address below: O No a r5 � p9 1. Article Addressed to: - D. Is delivery address different from item 1? 2 Yes JamesD Klein if YES,enter delivery address below: ❑No 28465 WCR 49 1/2 • Briggsdale, CO 80611 Norman C & Margaret J Peterson Greeley, CO 80631-9748 26565 WCR 80 - 3. Service Type ❑Certifed Mall ❑ 3. Service Type ❑Registered ❑RelumExpress ReceiptMail for Martha; 7-7-,L7-7-.1.71,.3.7-., _ --------- I ❑Insured Mail ❑C.O.D. r : all ❑Express Mail 4. Restricted Delivery?(Extra Feel ❑Yes R isle :. / ,._.i �j Zi , / _. ❑Return Receipt for Merchandise :.. _ 3 I" � it ❑c.o.o. z. AmcleNumber , 7003 1680 0202 2411 1233 2. r _ r' 4. PIY cted. ivory?(Extra Fee) 31 (Transfer from service label) fr�/r., nc..I -�:� ,ro _ ❑Yes d (re g PS Form 3811,February 2004 Domestic Return Receipt 1ozs95-oz-! PS Form 3811,February 2004 12 5867 L Domestic Return Receipt 1 55 71' p w _. V .102595-02-M-15401) - V_ o 0 s w y N 'LETS THIS SECT/IN • + w 'LETE THIS SECTI•N C•M•LETE THIS SECTI•N •N •ELIVE•Y o — ?� m c C•M•LETE THIS SECT/•N•N•ELIVE•v m d.o a items 1,2,and 3.Also complete A Sig-ature a items 1,2,and 3.Also complete A. Signature O Ager a v if Restricted Delivery is desired. - - t v ,if Restricted Delivery is desired. .your name and address on the reverse - X i q .your name and address on the reverse X Addy m that we can return the card to you. ,rE'J ' 1 l�.■ Addressee .2.that we can return the card to you. B. Received by(Printed Name) C. r a of De Attach this card to the back of the mailpiece, B. R: - '`'d by(Printed N- Attach this card to the back of the mailpiece, 2 r or on the front if space C. Date of Delivery or on the front if space permits. P Permits. 1. Article Add `g20 rased to: D. Is delivery add ('�'Y: D. Is delivery address different from Rem 17 ❑Yes n O � from it ? []yes t. Article Addressed to: If YES,enter delivery address below: ❑No V 1 'rO i )\1 �•�+�is S C If YES,enter d= address below: • No 5. I Jess L. or Irene G. Bond 3,0 , �ke� Dr. co 26421 WCR 388 i Kersey, CO 80644 3. Service Type f VU Yst O 3. ServiorType l ❑Certified Mall O Express Mail . /n, ❑`Certifed Mail O Express Mail �ui O Registered ❑Return Receipt for Mercha J I tQ� ❑Registered ❑Return Receipt for Merchandi-•s O Insured Mail O C.O.D. ❑Insured Mali ❑C.O.D. 9 4. Restricted Delivery?(Extra Fee) ❑Yes 2. 4. Restricted Delivery?(Expo Fee) ❑Yes -__ _ .. Article Number (. 2.. Article Number i i. 7223 1682 2222 2411 1196 ohms&fivmse t°lat 7203 1682 2222 411 2786 I , (Transierfiomservicelabel, PS;Forth 3811,February 2004 Domestic Return Receipt PS Form 3811,February 2004 Domestic Return Receipt 1ozs95m-c 102595-02-M-1540, - �; .v i'fl n aQ' ' Gs n yO y m nm`'m�as ,O m �r Or W` m,mm J,p :1/4'.. '1/4:;" (`D JC`` c` f�69 m ,p • \ � sir ,am° •. C•M•LETE THIS SECTUN C.M•LETE THIS SECTLN .N • LIVE•Y G iPr •M•LETE THIS SECTNN C•M•LETE THIS SECTI•N •N•ELIVE•Y complete items 1,2,and 3.Also Complete A. SI aNre item 4 if Restricted Delivery Is desired. X C / 1/ I) . _ ❑Agent .,iplete items 1,2,and 3.Also complete A WO ■ Print your name and address on the reverse ..d�6GG�G..G ---+++«-� �� ❑Addressee m 4 if Restricted Delivery is desired. X / O Agent I • so that we can return the card to you. B. Received by(Printed Name) C „ate of Deli ery int your name and address on the reverse :�!. iJ i ..A_ ❑Addressee 1Attach this card to the back of the mailpiece, that we can return the card to you. eived by - ' e) Da:of•- v= or on the front if space permits. 'Lt) tach this card to the back of the mailpiece, . - 1 4O#' /: 1. Article Addressed to: D. Is delivery address different from item 1• ❑Yes on the front if space permits. • � • ! If YES,enter delivery address below: O N D. Is delivery address different from item 1? • Yes Cleo Addressed to: If YES,enter delivery address below: O No )onald E Rohn jPrima Oil& Gas Company 0396 WCR 37 1099 18th Street, Ste 400 ult, CO 80610 Denver, CO 80202 3. Service Type ❑Certified Mail ❑Express Mall 3. Service Type a Registered0 Retum ❑Certified Mail O Express Mail 4l O Insured 0Mail O C.O.D.Receipt for Mercr ❑Registered O Return Receipt for Merchandise z 4. Restricted Delivery?(Extra Fee) O Yes - ❑Insured Mail O C.O.D. ? 4. Restricted Delivery?(Extra Feel ❑Yes 2. Article Number - - (rransrerfmmservice fabeo 7003 1680 0002 2411 1189 icla Number 7OO3 168O OOO2 2 411 1141 " PS Fonn 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 ,ns/er from service label) _ Qy,a Fti rert oQm �_ re mn 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 i 1:,,-;,7 ,mo•l�`O 6y2`m .yo m mF m' .-.. - ��J� ,mmOym, it �mm`°'m°-A mom�mO�O'°fir my • Qm� em o,dQo"'Q ao• mn °, y m • or J ymm 6aa mho am mr1 yJ°.Jm �; ya o mao n a P - __ S_mcs y aQ Qm ADS maa •QryP E ': C•M•LETE THIS SECThN i J `G _� • •N •ELIVE•Y C•M•LETE TH/S SECTI•N•N•ELIVE-y \41 �� • C•M LETE THIS SECTI N Complete items 1,2,and 3.Also complete A. Signature f'. �md' : C•M•LETE 7IS SEC711 N - item 4d Restricted Delivery A .i,naturer ❑A ll is desired. C A Print your name and address on the reverse x ❑Agerlt . ,t • 1,2,and 3.PJso complete So that we can return the card to you. dresses • Complete items Is desired• X 1^ - r fife 9 ■ Attach this card to the back of the mailpiece, F4celved b Printed Name item 4 d Resmcted Delivery rated Name) 21 B. 1 c. .r,e of..iv address on the reverse B. Received by Or on the front If space permits. ." /Y ■ Print your name end 1. Ankh Addressed to: so that we can return the card to you. D. Is delivery address different from item 1? ' Yes a Attach this card to the back of the mailpiece, &NM address address from item 1 ❑ H YES,enter deliv address below; ❑No 7 Or on the fmnt'rf space portraits. _ D.FS YES,enterdelivery below: ❑ Betty Jean Mccarthy c rY g a K i C?ill 1. Art°t°Addressed t 23010 Weld County Road 17 Terry R&Bonnie S McClure Lasalle, CO 80645 26549 WCR 388 3. Type Kersey, CO 80644 3. ServlcelYP° ❑Certified Mall O Express Malt ci citified Mali.,' Q Receipt fa r ❑Registered ❑Return Receipt for Merchandise ❑Insured McWM CI c on. ❑Insured Mail ❑C.O.D.' \ 4. Restricted Dela. wooded Deitrery?(� fie)"" r Ankh Number I _ ivory?(Extra Fee) _ ❑Yes • RaarnomsaYcaf 7003 1680 0002 3 Fo�rte381t,February 2004 Donhatic Return Receipt2411 1066 r 7003 1680 0002 2411 1134 ,c —J 2. Prticle Number; -ce label)' _. lozss5-o2-M.15gb '((Fapsfefn Domestic Return Receipt µ ,. rani♦ e. •n,aN 2004 ' M' E TH/S SECTNN ; CrM•LETE THIS SECTlo. .Fo es,.- /.4, yoe,a" .'' , e \toy ...„-to. ..oinplete Items _ and 3.Also complete A Signature e oQ c �" °item Restricted Delivery is desired �'� Jyy' ��a o'611./7 oyya� �o� .cCTI�N GM•LETE THIS SECTU � �N rEL/VE•Y • Print your name and add , °' xa °9`s o � X09 e� nature address on the reverse 4t h ' \°'° g'm�i-,4'.)0oQ °�"e• ' °f _..../and 3.Also complete •> + a so that we can return the card to you. - 5.0•,' Q '`"o d ed Delivery is desired. — ,Q Ago; • Attach this card to the back of the mailpiece, �I 9. Rec„ed by(R/nred Name) . m'',c moo°' 'C ,a' I rttme and address on the reverse _thi _ / �' ',� a Addre or on the front if space permits. C. D-te o o` er ,[we can return the card to you. .°calved by(Pon 1►, 0 .V . , ?ob .rtCach this card to the back of the mailpiece, - ) C - e of De4 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes or on the front if space permits. , 1, L If YES,enter delivery address below: 0 No 1. Article Addressed to: D. Is ery address different from item iT Yes If YES, enter delivery address below: 0 No John F Rohn Bonnie Rohn 710 Taylor Street 530 10th Avenue Apt 206 Sterling, CO 80751 Greeley, CO 80631 i 3. Service Type ❑Cert D Ex , ❑RegisteredifiedMail ❑Returnpress ReceiptMall for Merchandise 3. S0 ervice Type Certified Mall ❑Express Mail 0 ❑Insured Mall ❑C.O.D. - Registered 0 cReturnan. Receipt fo, ]ban. 4. Restricted Delivery?(Extra Fee) 0 Insured Mail 0 C.O.D.2. Article Number Q Yes 4. Restricted Delive (frarls/er from service label) 7003 ryl(Exha Fee) 0 Yes 'S Form 3811,February 2004 1680 0002 2410 5911 2. (TransArticl rfromsNumber 7003 1680 0002 2410 5904 Domestic Return Receipt I (Transfer from service labs/) 3 ma D n m °b 2," °,p r 9 u. -.70-* i�`'y�-e2-M-15i0I ,b,. a y 'Po d 2 o q f - -h d .F.P • PS Form 3811,February 2004 Domestic Return Receipt $9 o m` m C 6. W ___ 102595-02-M-. -s mO O S 0(p O PiPJ'Ltri 'e0 O5-rfe retie• Yel-0-001 °0.0?1'e6 N 2O,D ti n 9A0 ; 0.0 am m. GN 9s n 0, Q Y 1. G 1F a 4 0 ei 0-s n o�. e0 P Nn P-42 a m-.6°2"'0„090: oo N�5- 14,-.,m3. mo Qy _ •�.i P: eav_ .`t.1 aP oJ,.a1.0.- 0 0. 9. L e` . N , -, C'M•LETE THIS SECTNN CrM LETE THIS SECTNN •N •ELIVE•Y m I 'LETE THIS SECTI eN C•M•LETE THIS SECTI'N•N•ELIVE•Y c° a a` �mplete items 1,2,and 3.Also complete A. Sign .ate items 1,2,and 3.Also complete A Signature - - �� Q Agent. P g .em 4 if Restricted Delivery is desired. .,t 4 if Restricted Delivery is desired. X &,4•1_,2i._. ' /,��q9 Agent Z Print your name and address on the reverse X a Addr« .-- Print your name and address on the reverse �.'7� a Addressee d so that we can return the card to you. B• Ned by(Printed Name) C. Date of De'. so that we can return the card to you. .'� Attach this card to the hack of the mailpiece, B. Received by(Ri Y - e) C. �' f Delivery `r/!� ■ Attach this card to the back of the mailpiece, .�57�1er n or on the front if space permits. or on the front if space permits. (es D. is& very address different ham item ? ps D. Is delivery address T� - em 1? c/ es I. Article Addressed to: H YES,enter delivery address below: 1. Article Addressed to: If YES,enter del �•r� No - - Esther J Clerk 4 Esther Brttrttz A 2t 12 6472 Owens Street 12801 WCR 641/2 Arvada, CO 80004 • 1 i Greeley, CO 80631 3..Servce Typo 3. Service lype , �I -QrCertlfled MaLL': Q Express Malt . ❑Certified Mall Q Express Mali . i. i - [j Q Return Receipt for Marcos ❑Registered 0 Return Receipt for Merchandise 13 insured Mail' ❑Insured Mall ❑C.O.D. 4. Restricted DelNeryl(Extra Fee) ,. ' a Yes 4. Restricted Delivery?(Extra Fee) ❑Yes - _. _ e_...0__.,2411. ,... _1202 Article Number -..... _ 2. Article Number . : i (Transfer from service label), � 7003 1680 0002 2411 1226 (Tisnsfer81 iFebr labe4 1ifresssoz 7003 1680 0002 ^ PS Form 3811,February 2004 Domestic Return Receipt 'S Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154o ��or��o•a�- per- ye" V ymo m<. .p aya�.' -my �,2,-8 s .-, ,5,:' y. a) a a�a �O"' ° a er a' $' It a°a�a D O o° ym 1°' ,y�e eel ¢ J,a`J`y9,L @r' ma as mna?z—a rgr°9 �a °' y F' tr $o J' 2 I ♦° a s c a aQ et ,o e4e n 0a...� i is �')md�,1' d'' c� - SECTIeN a°'a-° .m °a ,yS ' Qz` \ �a Fo a C•M•LETESECT/rN•N'ELIVE•y \° o� � roe - •LETE TH/S SECTI pi C•M•LETE THIS SECTI.N'N 'ELIVE•Y b,° as 2,and 3,Also corn late A Signature °'� 6' .horr(cted Delivery is desiredP m ��" ..rPrete items 1,2,and 3.Also complete A Signature e ,.•rur name and address on the reverse X ' t- ❑Agent Item 4 if Restricted Delivery is desired, X O ❑Addre y,.rthat we can return the card to you. ■ Print your name and address on the reverse ' O�-�^^— 0 Addre� •Attach this card to the back of the mailpiece, B. Received by(Printed Name) ❑Addressees so that we can return the card to you.or on the front if space permits. C, ' t=of Delivery B •',calved by(•'••.,.N= _) r .ate 0 r e! - � • Attach this card to the back of the mailpiece, ► /, � n� I. Article Addressed to: D. Is delivery — or on the front if space permits. . / _ ♦ it_ address different from item 1? ❑Y- t -D. Is delivery:.,•ress different from Item 1? 0 es If YES,enter delivery address below: 0 No 1. Article Addressed to: If YES,enter delivery address below: 0 No Elsie Reichert • a I Harry Rohn 2119 11th Street Greeley, CO 80631 P O Box 1445 yr Ault, CO 80610 j 3. Service Type . • ' 3. Service Type ❑Certified Mail e ❑Express Mall `c, 0 Certified Mail 0 Express Mall 1 ❑Registered 0 Rehm Recei 0 Registered 0 Return Receipt for Merchanc ❑Insured Mail pt for Merchandise V ❑C.O.D. ❑Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) 4. Restricted Delivery?(Extra Fee) 0 Yes Article Number ❑Y� ,y mans font service label) , 7023 1680 0002 2411 (ride Number i Fonn 3811,February 200 13 01 'c (Transfer from service/abeq 7003 1680 0002 2 411 1295 Domestic Return Receipt _ PS Form 3811,February 2004 Domestic Return Receipt JOJ 8 m� ..-.. _ _ 102595-02-M-1540 I102595-02.M-� aS 0 o Za.7 I0a° i m 3mn`°"'J.?.rya a t a e r _-� y ° c Z°a p 9:2.oa a �� oF' y�y0 Qam mn�y3o' a a omd J se �o\ y° - __ , rob @04 _ -. _ - -_a.mm',x m� a0 m rya m a1 y ,p r o a n - 3 4, t m \ 0 mN CrM LETE THIS SECTUN •N •ELIVE•Y °°am Q '�0 ym Q ETHIS SECTNN CrM•LETE THIS SECTNN •N •ELIVE•Y `c 'LETE THIS SECTNN and as'' 0- ?,z," •items 1,2;and3.Also complete A. Sig . .re ., Iete items 1,2,and 3.Also complete a S•natu = t;._ . f Restricted Delivery is desired, ! ' a P y / / ❑Agent o'r 3 rot your name and address on the reverse X Ad Lem 4 if Restricted Delivery is desired. ' ?riot your name and address on the reverse X /�. , _ .L 0 Addressee so that we can return the card to you. `-/ ❑�` ao that we can return the card to you. B. R.,-iv (Printed Name) C. Dar d Delivery 1 • Attach this card to the back of the mailpiece,_, B. Recely>.by(Printed Name) C.pate of I. ;oath this card to the back of the mailpiece, or on the front if space permits. - C -� x on the front if space permits. 1, Article Addressed to: D. Is delivery address different from item 1? —+Yes D. Is delivery address different from item 1? • Yes • i \Witte Addressed to: If YES,enter delivery address below. 0 No If YES,enter delivery address below: 0 No 'trick L&Kay L Williams 1 Erich J P&Elizabeth C Williams I 3587 WCR 388 26591 WCR 388 , ersey, CO 80644 Kersey, CO 80644 3. sem4cerype j a_sdrvtoeryp• x ❑Certified Mail 0 Express Mail I! Q RegIsCertlflerf Mai• Q Drprens Me4 ❑Registered CI Return Receipt fof Merchandise Cl Insuraefed 0 Rohm Receipt for Merck ❑Insured Mail ❑C.O.D. 0 hteured Mell Q Go.a: -- 4. Restricted Delivery?(Extra Fee) ❑Yes 4. Restricted Delivery?IE]'ha Pee}- ❑Yes 2: Article Number; -- ____._. —___. — —_--.— _ --- 7003 1680 0002 2410 5881 Article Number j 7003 1680 0002 2411 1288 (fraru/errrom service label) 71a &,from service/eb9l - PS Forn 3811,February 2004 Domestic Return Receipt 102595-02- Form 3811,February 2004 Domestic Return Receipt toz5a5-0z-M-15ao• e ,,:e e� z`.• •eS a a H n m m .9, 0 _9 i m '4.CI' ��°\ �� m5\ zo m co mo °j¢ o�D 3 mm1. �? .2 ek•,A; o,ta I a a m rr m io m ?`"g a Q. `� o'y �°, ,O. leeF 0y\59\ -O. 'a rD¢ Q°L10 Au O0 0 Nm; f Q`m D s �P e ,D. a ¢ m m m m L. S m ev .6.., n;° n-DD a� o' ? •M•LETE THIS SECT//N G-•M•LETE TH/S SECTI•N•N•ELIVE.Y �. C/M•LETE TH/S SECT/•N C•M•LETE THIS SECTHN m° .etc- f' cr m; �mplete items 1,2,and 3.Also complete A Signature I Complete items 1,2,and 3.Also complete A Sr 1/ - item 4 if Restricted Delive ❑Agent g- ry is desired. X item 4 R Restricted Delivery is desired. X / ❑Agent' . f ■ Print your name and address on the reverse ,,, /� AddreseP I Print your name and address on the reverse !.a - _` h�a..�.c.p.Addressee so that we can return the card to you. so that we can return the card to you. ' / • Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. '- -. of Deliver eceived b P= ted Name) C. D: of• livery on this card to the back of the mailpiece, - p or on the front if space permits. or t or on the front if space permits. C2-' � )' � � /- 99 D. I- •elivery address different from Rem ■ Yes 1 1. Article Addressed to: D. Is delivery address different from item 1? Cl Yes Article Addressed to: If YES,enter delivery address below: O No l If YES,enter delivery address below: Cl No I William Klein Ron M& Gayle R Green 27974 State Hwy 37 t P O Box 1247 ' Kersey, CO 80644 Fort Morgan, CO 80731 3. Service Type 3. Service Type O Certified Mall O Ex ❑Certified g Mail O Express Mail O Registered O Return Express Receipt for Merchandise Mall ❑ Registered O Return Receipt for merchandise �'"t p ❑ Insured Mail O C.O.D. O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) O Yes 4. Restricted Delivery?(Extra Fee) O Yes 2. Article Number Article Number (Transfer from service/aba 7003 1680 0002 2411 1073(nsnsfarfromservice laneq 7003 1680 0002 2411 1103 • PS Form 3811,February 2004 Domestic Return Receipt Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 s o'er F' r 102595-02-M-1540 CT ScP l. m ¢eta m� a 3 w yF o `_c 1p. mo. oFro zzo }o' �: oo y NS - ' i C•M•LETE THIS SECTI•N •N •ELIVE Y e o� o •M'LETE TH/SS C71/N • . C•M'LETETHISSECTI•N •G M LETE THIS SECTI•N•M nCr IVE'Y ASignature ,nplete items 1,2,and 3.Also complete • ( ❑Ages ec?Jam lete items t,2,and 3.Also completertem 4 if Restricted Delivery is desired. '// r h / r,Addr A SiSi• ature O • iti>•� .. P , ■ Agent • Print your name and address on the reverse _:..•ice_ item f Restricted Delivery is desired- / � so that we can return the card to you. B.R: = ed by(Printed Name) C.L Iif De Print your name and address on the reverse es .e �rl ��• • 'd • Attach this card to the back of the mailpiece. �� so that we can return the card to you. B. Received by(FYI amee . 1 C. D. e, Delivery or on the front if space permits. Attach this card to the back of the mailplece, D. Is delivery address OiRaremirom Rem 11 Yes or on the front if space permits. • 1. Article Addressed to: It YES,enter delivery address below: No D. Is delivery address• � -•, Yes Article Addressed to: If YES,enter delivery:.•,• O No Freida Dill ca P O Box 83 Kathleen L Berryman Kersey, CO 80644 P O Box 525 :Kersey, CO 80644 O Certified Mal O Express Mau 3. Service Type O Registered O Return Receipt for Merolla ❑Certified Mail ❑Express Mall O Insured Mail Cl C.O.D. ❑Registered O Return Receipt for Merchandise 4. Restricted Delivery?(ExtraFet. �„ ❑yes ❑Insured Mall ❑C.O.D. _ _ -- - - 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number ILs_ 7 0 0 3 16 8 0 0 0 0 2 2 411 1219 Article Number 7003 1680 0002 2411 1165 Mangler from"se ebru Domestic Rehm Receipt ,ozsa5-0z-r Trtaler from service?abeq PS Form 3811,February 2004 Ferro 3811.February 2004 Domestic Return Receipt 10259502-M',5no m w� • a� c°� 5'o-' �a.RA::' • obU 0 Do ym �P eg�oo m� ,D y�e ry`P �, m .i / since 'LETS THIS SECT/eN ..1 - i•L THIS SECT/• C•M. n ,,,,yy C•M•LETESECTION• LETE THIS SECTI•N •N•ELIVE•y .•p�etB item9}, N•EL/VE•Y .•notate items 1,2, rrgm 4 if Restricted Deand very Is desired. A Signature and 3.Also complete Signatureg - item 4 if Restricted Delivery is desired • Print our n eras the rev X r ■ Print your name and add so that we can return the card to you. ^r rear on the reverse A / ❑Agent rear fit• �y -_ (J O Agent so that we can return the card to you. • Attach this card to the back of the mailpiece, _ -"""'^�Ad re ■ Attach this card to the back of the mailpiece, Addressee or on the front if space B. Received by(Printed Name B'�eceived by Printed Name) C. Dab of Delivery ) C. Date of Del. or on the front if space permits. permits. y� , 1. Article Addressed to: D. Is delivery 1. Article Adtlressetl to: ery address d. D. Is dBi•N ! et- 2t-CL' If YES,enter delivery address l7 O No address different ink Rem 17 ❑Yes If YES,enter delivery address below: 0 No Reinholdt Rohn Marilyn Joann Schneider Yes 4815 W 6th Street Road' 24987 WCR 25 Greeley, CO 80634 Milliken, CO 80543 3. Service Type I 3. Service Type ❑Certified Mail ❑Ex �Certified Mail []Express Mall ❑Registered prate Mal ❑Registered i reed ❑Return Receipt for Merchandise Rehm Receipt for Merchandis ❑Insured Mail ❑C.O.D. 0 Insured Mail ❑C.O.D. 2. Article Number • 4. Restrict. r.-a._ _ 4. Restricted Delivery?(Extra Fee) �Yes _ Article Number (ransferhom 7003 1680 0002 2410 5874 Yes (Transfer from 7003 service rabe/f� service 1680 0002 ' RsFom381 Form 3811,February 2004 2 417. 1--318 1-F h"•,a;r 2004 Domestic Return Receipt Domestic Return R .c 0 CD v- Q' _—_ Receipt m�»a m 0-1r _ ` Q 102595-02-M-1540 04' o e m m N oa o) c g 'DP_ - -- _._.. 10259502-M-156c �aa, S use _ i°�: aovaa as m y ° - - -. ' a. 3 m w n w^ ' m ca w ©Om F. o� xc. -', •M'LETE THIS SECTIeN CrM•LETE THIS SECTUN •N •ELIVE•Y �ma�� mm , SECTIeN CrM LETE THIS SECTIeN •N •EL/VE•Y oa9.am no m in -rn mete items 1,2,and 3.Also complete A natu - E o v m d f. ,3 u ° and 3.Also complete A. • r nature '�//f/.m 4 if Restricted Delivery is desired. 1// ❑Agent ,�g,�m goy Delivery is desired. • I101.. ..._ ��f/"� 0 Agent Print your name and address on the reverse ca ❑Addressee =?�.o a iu g ,and address on the reverse ❑Addre:. so that we can return the card to you. vY — ■ Attach this card to the back of the mailpiece, eceived b-- } N.•e t n U • of '( ad �'�° ;-�°1+n return the card to you. �, Received by(Printed Name) Date of Clef or on the front If space permits. L �/ F 1 an =1.16.`g v° a card to the back of the mailpiece, ( . - a.n - .re front if space permits. ... f -I? 1. Article Addressed to: r• I-delivery address different from Rem 17 ❑Yes d m o m n D. Is delivery address d' �•�� tlplgtll�F` If YES,enter delivery address below: ❑No m-.Da o'•kla Addressed to: RYES,enter delive � y� vid A Rohn Sr / O = �'� } • Arylse R Rohn r 56 30th Street Apt 731 1134 Country Acres Drive 1004 Greeley, CO 80632 Johnstown, CO 80534 ' r± 3. ServiceType 3. Service type ❑Certified Mail Express Mails ❑Certified Mail ❑Express Mal( ❑Registered Cl Return Receipt for Merchanr • ❑Registered 0 Return Receipt for Merchandise ❑Insured Man 0 C.O.D. - - _' - . . ❑Insured Mail ❑C.O.D.. ... 4. Restricted Delivery'?(Extra Fee) O Yes 4. Restricted Delivery?(Extra Fee) f7 Yes r. Article Number • --- (Raiuterlfoinservice� 7003 1680 0002 2411 1097 - 2'., Article Number 7003 168❑ 0002 24111271 (flans from service label) - 'S Form 3811,February 2004 Domestic Return Receipt 102595-02.M-1540 , PS Form 3811,February 2004 ' Domestic Return Receipt 595-o2-M- Hello