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Home My WebLink About20030093.tiff fra-N 461 DEPARTMENT OF PLANNING SERVICES PHONE (970) 353-6100, EXT.3540 Will FAX (970) 304-6498 Co 1555 N. 17TH AVENUE GREELEY, COLORADO 80631 COLORADO October 8, 2002 TO: SURROUNDING PROPERTY/MINERAL OWNERS CASE NUMBER: USR-1399 There will be a Public Hearing before the Weld County Planning Commission on Tuesday, December 3,2002, at 1:30 p.m., in Room 210, Weld County Planning Department, 1555 N. 17th Avenue, Greeley, Colorado concerning the request of: NAME: Ronald and Jaime Sisneros FOR: A Site Specific Development Plan and Use by Special Review Permit for one single-family dwelling unit other than that permitted by Section 23-3-20.A in the A (Agricultural)Zone District. LEGAL DESCRIPTION: Lot A of RE-1822; being part of the S2 SW4 of Section 9, T1 N, R66W of the 6th P.M., Weld County, Colorado. LOCATION: North of and adjacent to WCR 10; approximately 1/3 mile east of WCR 29. 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, 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. Jr- 2003-0093 SURROUNDING PROPERTY OWNERS AND/OR SUBSURFACE ESTATES/INTEREST OWNERS RONALD AND JAIME SISNEROS USR-1399 Howard Binder 6055 WCR 23 Ft. Lupton, CO 80621 Michael and Richielle Cunningham 14631 WCR 10 Ft. Lupton, CO 80621 Jeffery and Jennifer Diller 14790 WCR 10 Ft. Lupton, CO 80621 Irene Latham 14410 WCR 10 Ft. Lupton, CO 80621 Donald and Sally Ozbun 14521 WCR 10 Ft. Lupton, CO 80621 Gary Scovel 14530 WCR 10 Ft. Lupton, CO 80621 James and Lisa Smith 14421 WCR 10 Ft. Lupton, CO 80621 Bryan and Martha Warner 14301 WCR 10 Ft. Lupton, CO 80621 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-1399 in the United States Mail,postage prepaid First Class Mail by letter as addressed on the attached list this 9th day of October, 2002. Wallet Wendilnloes r AFFIDAVIT OF INTEREST OWNERS SURFACE ESTATE Subject Lot A, Recorded Exemption No. 1471-09-3-RE1822 being a part of the S 1 of the SW 1 of Section 9, Township 1 North, Range 66 West of the 6th P.M. , Weld County, Colorado, as per map recorded February 22, 1996 in Book 1533 as Reception No. 2477336. 14371 Weld County Road 10, Fort Lupton, Colorado, 80621 . 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 or property(the surface estate)within 500 feet of the property being considered. This list was compiled from the records of the Weld County Assessor, or an ownership update from a title or abstract company, or an attorney. The list compiled from the records of the Weld County Assessor was assembled within thirty days of the application's submission date. ignatu Jaime ynn Si neros atedeeXSignature Ronald Sisneros 7/ a/02) Date r 10 NAMES OF OWNERS OF PROPERTY WITHIN 500 FEET Please print or type NAME ADDRESS, TOWN/CITY, ASSESSOR'S PARCEL STATE AND ZIP CODE IDENTIFICATION # 1 . BINDER, HOWARD E. 6055 W.C.R. 23, FT. LUPTON, CO, 80621 147116000047 2 . CUNNINGHAM, MICHAEL E. 14631 W.C.R. 10 , FT. LUPTON, CO, 80621 & RICHIELLE D. 147109400067 3 . DILLER, JENNIFER J. 14790 W.C.R. 10 , FT. LUPTON, CO, 80621 147116000046 & JEFFERY 4 . LATHAM, IRENE 14410 W.C.R. 10, FT. LUPTON, CO, 80621 147116000030 5 . OZBUN, DONALD W. 14521 W.C.R. 10, FT. LUPTON, CO, 80621 147109000009 & SALLY R. 6 . SCOVEL, GARY LEONARD 14530 W.C.R. 10 , FT. LUPTON, CO, 80621 147116000040 7 . SMITH, JAMES R. 14421 W.C.R. 10, FT. LUPTON, CO, 80621 147109300018 & LISA L. 8 . WARNER, BRYAN K. 14301 W.C.R. 10 , FT. LUPTON, CO, 80621 147109000068 & MARTHA L. 11 Weld County Planning liepartment GREELEY OFFICE NOV 5 2002 RECEWED Ron & Jaime Sisneros 7315 Jellison Street Arvada, Colorado 80005-3855 October 31, 2002 Ms. Sheri Lockman Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Subject: USR-1399 - Lot A of RE1822 being part of S2, SW4, 9-1-66 Dear Sheri, We have notified each of the parties who have a mineral rights interest in our property of the date, time, and location of the public hearing to discuss our Use by Special Review Permit No. 1399. These notices were sent by certified mail on October 15, 2002 and copies of the receipts are attached. Please feel free to call us if you have any questions. Best regards, Ron & Jaime Sisneros (303) 423-8213 AFFIDAVIT OF INTEREST OWNERS MINERALS AND/OR SUBSURFACE perty Legal Description. Lot A, Recorded Exemption No. 1471-09-3—RE1822 Property Legal Parcel Number 147109000067 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 address of all mineral owners and lessees of mineral owners on or under the parcel of land which is the subject of the application as their names appear upon the real property records in the Weld County Clerk and Recorder's Office. 'By: ,eix.,4 is Title: atrsctaowsi,eh1 The foregoing instrument was subscribed and sworn to me this ,102 day of , 20_ . WITNESS my hand and official seal. My Commission Expires. /- 2 9'- z2 • Notary Public As instructe by allr4mineralr. LeeMownersnandelesseestofAmineral ownersttorney, Win tog, this parcel of land and copies of their notification of this U. S.R. 12 JUL-23-02 TUE 10:57 RONALD MCDONALD HOUSE FAX NO, 3032323802 P, 02 MINERAL OWNERS AND LESSEES OF MINERAL INTERESTS Please print or type NAME ADDRESS, TOWN/CITY. ASSESSOR'S PARCEL STATE AND ZIP CODE IDENTIFICATION # LEONARD AVEY and ALICE AVEY BOTH DECEASED 147109000067 HERSHEL R. HEIN 2140 COUNTRY CLUB PKWY., MILLIKEN, CO 80543 147109000067 LEO AVEY 719 S. 13TH AVENUE, BRIGHTON, CO 80601 147109000067 *NOTE: INDIVIDUALS LISTED ON THE ATTACHED STATEMENT OF LEASE OWNERSHIP PROVIDED BY MERIT ENERGY COMPANY HAVE A ROYALTY INTEREST (INDICATED "RI") IN THE AVEY NO. 1 WELL, WHICH IS LOCATED ADJACENT TO OUR PROPERTY. ALSO ATTACHED IS NOTIFICATION TO EACH INDIVIDUAL. (SEE ATTACHEMENTS Al - Al2) 13 ATTACHMENT Al MERIT ENERGY COMPANY PAGE 1 DIVISION OF INTEREST - STATEMENT OF LEASE OWNERSHIP 3RTY NAME AVEY 1 DIV ORDER $ 23122 OP BATOR MERIT ENERGY COMPANY PRODUCT GAS COUNTY WELD EFF DATE 06/01/01 STATE COLORADO PROPERTY NO 417.1016 MERIT ENERGY COMPANY ASSUMES NO RESPONSIBILITY FOR ACCURACY OR CORRECTNESS OF THE INFORMATION HEREIN SET DIVISION OF INTEREST - STATEMENT OP LEASE OWNERSHIP OWNER OWNER NAME AND ADDRESS TAXPAYER TYPE DECIMAL PAY NUMBER ID INTEREST INTEREST CODE SIGNATURE LINE 55026 RICHARD F BRAUN OR 0.00064938 S18 53988 CONNIE M HAWKINS 519-52-1517 OR 0.00024352 M 2870 EAST 124TH WAY THORNTON,COLORADO 80241 55025 HOWARD C HARMON OR 0.00016234 S18 54313 LYNDA L PARKER 523-72-3756 OR 0.00006091 M 6603 BATAVIA PLACE DENVER,COLORADO 80220-1726 55023 CLAUDIA R WEATHERLY OR 0.00016234 M TOTAL FOR TYPE INTEREST "OR 0.00127849 54442 BRYAN K WARNER AND MARTHA L WA 524-98-8176 RI 0.01026964 M 14301 WCR 10 FT LUPTON,COLORADO 80621 54284 GEAN M AND HERSCHEL R HEIN 523-56-0684 RI 0.00414036 M 2140 COUNTRY CLUB PKWY MILLIKEN,COLORADO 80543 54150 HENRIETTA NICHELSON 522-40-0415 RI 0.03742031 S18 859 SOUTH HOOVER FORT LUPTON,COLORADO 80621 7 17 t0L, I5 /5 ENE CURRENT REVENUE OECC ,6 Mo C m-uGE D F OWA.)ER5y-I n15 BEEN PROVIDED. ATTACHMENT A2 MERIT ENERGY COMM._.! PAGE 2 DIVISION OF-INTEREST - STATEMENT OF LEASE OWNERSHIP i^'4RTY NAME AVEY 1 DIV ORDER M 23122 L. .ATOR MERIT ENERGY COMPANY PRODUCT GAS COUNTY WELD EFF DATE 06/01/01 STATE COLORADO PROPERTY NO 417.1016 MERIT ENERGY COMPANY ASSUMES NO RESPONSIBILITY FOR ACCURACY OR CORRECTNESS OF THE INFORMATION HEREIN SET DIVISION OP INTEREST - STATEMENT OF LEASE OWNERSHIP OWNER OWNER NAME AND ADDRESS TAXPAYER TYPE DECIMAL PAY NUMBER ID INTEREST INTEREST CODE SIGNATURE LINE 54433 JAMES R AND LISA L SMITH 524-82-8456 RI 0.02176344 M 14421 COUNTY RAOD 10 FT LUPTON,COLORADO 80621 54258 LEO L AND COLLEEN J AVEY 523-38-5128 RI 0.00140625 M 719 SOUTH 13 AVENUE BRIGHTON,COLORADO 80601 54563 NORTHSTAR GAS CO INC 76-0299533 RI 0.00182813 M 18502 CLAY ROAD BUILDING 6 HOUSTON,TEXAS 77084 53710 W E MILLER 153-24-7734 RI 0.01440625 M 8223 WEST 62ND PLACE ARVADA,COLORADO 80004- 53913 WAYNE R AND VERA I GLENDENING 484-10-0235 RI 0.04565625 S18 14144 COUNTY ROAD 12 FORT LUPTON,COLORADO 80621- TOTAL FOR TYPE INTEREST "RI 0.13689063 53840 JOHN D CRANOR 440-30-4468 WI 0.06890441 518 5735 SOUTH IVY STREET ENGLEWOOD,COLORADO 80111 ATTACHMENT A3 Ron and Jaime Sisneros 7315 Jellison Street Arvada, Colorado 80005-3855 July 22, 2002 Ms. Lisa Witherspoon Land Administrator Merit Energy Company 12222 Merit Drive, Suite 1500 Dallas, Texas 75251 Dear Ms. Witherspoon: We are writing to notify Merit Energy of our intent to build a new home on our property located at 14371 Weld County Road 10 in Fort Lupton, Colorado, which is adjacent to the Avey No. 1 Well (Property No. 417.1016). We have discussed this with you by phone on several occasions and faxed this same information to Mr. Scott Gladden of your organization. Additionally, we have notified each of the individuals who have a royalty interest in this well based on the Statement of Lease Ownership you provided. Thank you for your help in this matter. Regards, Ron and Jaime Sisneros Property Owners ATTACHMENT A4 Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Lot A of RE1822 being part of 52, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton, CO Ron and Jaime Sisneros have notified us of their intention to build a new home on their property described above. As mineral rights owners, we have no concerns or reservations regarding their plans. Talk P.�� , C' tl% c am,.. C. l .... 1< (i Bryan Warner Ti► 1 Is 7)-1,4424_ e Of \\c ..._Q , Martha L. Warner aTE CD\U r G //970 a Date The foregoing instrument was subscribed and sworn to me this/7ikday of 9/,6'L—Q_ , 2002. WITNESS my hand and official seal. My Commission Expires: . Public My Commission expires December 27, 2002 ATTACHMENT A5 Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Lot A of RE1822 being part of S2, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton, CO Ron and Jaime Sisneros have notified us of their intention to build a new home on their property described above. As mineral rights owners, we have no concerns or reservations regarding their plans. By: Herschel R. Hein Gean M. Hein �0* 2- ate The foregoing instrument was subscribed and sworn to me this 3u' day of \ItuN 0- , 2002. WITNESS my hand and official seal. My Commission Expires: ` 4 Ii tJa . .. . 2 Notary Public DARCI N. i': AMAYA ATTACHMENT A6 Ron and Jaime Sisneros 7315 Jellison Street Arvada, CO 80005-3855 303/423-8213 June 9, 2002 Ms. Henrietta Nichelson 859 S. Hoover Fort Lupton, CO 80621 Dear Ms. Nichelson: We wanted to let you know of our intention to build a new home on our property at 14371 Weld County Road 10. Our neighbors and everyone else with a mineral rights interest has been notified also and given us their support. If you would be kind enough to do likewise, please sign, date, and have notorized the attached letter and return it to us in the stamped, self-addressed envelope which is enclosed. We will be happy to reimburse you for any fee paid to a notary public. Please don't hesitate to call us with any questions you might have. Thank you, Ron and Jaime Sisneros Enclosures—As above SENDER: COMPLETE THIS SECTION _ COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. Received by(Please Print Clearly) B.pa�of pea item 4 if Restricted Delivery is desired. 6L,! ■ Print your name and address on the reverse so that we can return the card to you. C. Signature • Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. ��:.GyljY_1! i,G o� ❑Addressee D. Is delivery address different from item 1? O Yes 1. Article Addressed to: If YES,enter delivery address below: O No Ms. Henrietta Nichelson 859 S . Hoover Fort Lupton, CO 80621 3. Service Type Certified Mail O Express Mail Registered O Return Receipt for Merchandise O Insured Mail O C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7000 1670 0001 3651 0656 (Transfer from service label) PS Form 3811,March 2001 ' ' '' ' '' '' Domestic'Retm'Receipt 102595-01-M-1424 ATTACHMENT A7 Weld County Department of Planning Services Re: Lot A of RE1822 being part of S2, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton,CO Ron and Jaime Sisneros have notified me of their intention to build a new home on their property described above. As a mineral rights owner, I have no concerns or reservations regarding their plans. By: Henri 141P lson Date The foregoing instrument was subscribed and sworn to me this day of , 2002. WITNESS my hand and official seal. My Commission Expires: Notary Public ATTACHMENT A8 Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Lot A of RE1822 being part of S2, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton, CO Ron and Jaime Sisneros have notified us of their intention to build a new home on their property described above. As mineral rights owners, we have no concerns or reservations regarding their plans. By: J. es R Smith List , L. Smith (o�lD-off, Date The foregoing instrument was subscribed and sworn to me this MK day of �7u roc.. , 2002. WITNESS my hand and official seal. l� My Commission Expires: //-/5-04005 • Notary Public (/ r ATTACHMENT A9 Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Lot A of RE1822 being part of S2, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton, CO Ron and Jaime Sisneros have notified me of their intention to build a new home on their property described above. As a mineral rights owner, I have no concerns or reservations regarding their plans. By: Leo L. Avey 6 Date The foregoing instrument was subscribed and sworn to me this d' day of (..$.,L , 2002. WITNESS my hand and official seal. My Commission Expires: S/07s//,7tic �'pTA9 Notary Public k%. VIr of co t.° ATTACHMENT A10 Ron and Jaime Sisneros 7315 Jellison Street Arvada, Colorado 80005-3855 July 22,2002 Mr. Ken McKinney Northstar Gas Co., Inc. 18502 Clay Road, Bldg. 6 Houston, Texas 77084 Dear Mr. McICinney: We are writing to notify Northstar Gas Co., Inc. of our intent to build a new home on our property located at 14371 Weld County Road 10 in Fort Lupton, Colorado, which is adjacent to the Avey No. 1 Well (Merit Energy Property No. 417.1016). We have discussed this with you by phone and fax. Additionally, we have notified each of the individuals who have a royalty interest in this well based on the Statement of Lease Ownership provided by Merit Energy Company in Dallas. It was a pleasure to talk with you this morning. Please don't hesitate to contact us with any questions you might have. Regards, • /GIoLia � ,� sp Ron and Jaime Sisneros Property Owners ATTACHMENT All Weld County Department of Planning Services 1555 N. 17th Avenue Greeley, Colorado 80631 Re: Lot A of RE1822 being part of S2, SW4, 9-1-66 14371 Weld County Road 10, Fort Lupton, CO Ron and Jaime Sisneros have notified me of their intention to build a new home on their property described above. As a mineral rights owner, I have no concerns or reservations regarding their plans. By: y(v/x l W. E. Mill /` Date_ The foregoing instrument was subscribed and sworn to me this /a* day of June- , 2002. WITNESS my hand and official seal. My Commission Expires: (9— - 0.3 / / i J rr otary Public S S 'Fop coy' ATTACHMENT Al2 Ron and Jaime Sisneros 7315 Jellison Street Arvada, CO 80005-3855 303/423-8213 June 9, 2002 Wayne and Vera Glendening 14144 County Road 12 Fort Lupton, CO 80621 Dear Mr. and Mrs. Glendening: We wanted to let you know of our intention to build a new home on our property at 14371 Weld County Road 10. Our neighbors and everyone else with a mineral rights interest has been notified also and given vs their support. If you would be kind enough to do likewise, please sign, date, and have notorized the attached letter and return it to us in the stamped, self-addressed envelope which is enclosed. We will be happy to reimburse you for any fee paid to a notary public. Please don't hesitate to call us with any questions you might have. Thank you, £ 9. Ron and Jaime Sisneros Enclosures— • . ,.. _ ._. ... ., CERTIFIED MAIL Iw �eR.Eo. tn evres - lu.$3.9 9264 7000 1670 0001 3651 0649 ".jo62I 00012462 Wayne and Vera fig 14144 Cou 12 For[ , CO 80621 LO U.S. • :I Service U.S. Postal Service CERTIFIED MAIL RECEIPT a CERTIFIED MAIL RECEIPT (Domestic Mail Only;No Insurance Coverage Provided) r (Domestic Mail Only;No Insurance Coverage Provided) In In CO o cr . I --H0UDT0N--TX 1 n�74 P- - - A Postage ; $ Ul 0.37 H UNIT ID: 0054 • Postage $ -- 0. UNIT I➢: 0054 m Cenn„d Fee O Certified Fee C _I Postmark Return Receipt Fee �• .i0 p F-1 (Endorsement Required) Return Receipt Fee Hare IF (Endorsement Required) 1.75 a Restricted Detrvery Fee ' -� 0 p (Endorsement Reguvedl o Restricted Delivery Fee Clerk: KD16RW (Endorsement Required) Clerk: KD16RW ci rR Or Total Postage&Fees $ 4 4 10/15/02 Total Postage 8 Fees $ 4.42 10/15/02 -.0 Sent r rL CI Sent To '� IIMr. Ken McKinney,Northstar Gas Co o itE/L� �l. C-7E4/v d i' iree[ Apr.No.:or PO BoxN P- Street,AptNp ,.� , , .� x ' 18502 Clay ltd. , Bldg. 6 orPOBoxNp /-'w C6Le/V7-i CL_u.0 Kl</. O !c}„ State.ZIP-u City State,ZIP*4 C '/ r ZY0U t0n TX 77084 laj/LL /x £ .N [ JtJry_3 PS Form3800,gprjl 2002.. _. .., .__ _ See Reverse for Instructions U.S. Postal Service U.S. Postal Service CERTIFIED MAIL RECEIPT t-- CERTIFIED MAIL RECEIPT r- (Domestic Mail Only;No Insurance Coverage Provided) r- (Domestic Mail Only;No Insurance Coverage Provided) in url • o- I alARVADA, CO W104 • ni •• FORT LUPTON„CO 00621 r` • r Postage $ 0.37ID: 0054 Postage I S - UNIT u T UNIT ID: 0054 o Certified Fee 0 Cenmed Fee i 0 2.30 ___,,._r, Postmark 0 Return Receipt Fee Pew= O Return Receipt Fee Here (Endorsement Required) 1, 1.75 I O (Endorsement Required) Restricted Delivery Fee I- l 0 Restricted Delivery Fee Cl (Endorsement Required) : Clerk: KD16RWo (Endorsement Required) Clerk: KD16RW ra Total Postage 8 Fees $ 4.42 10/15/02 Total Postage 8 Fees $ 4.42 10/15/02 rUru 0 l Sent To O I Sent To -y� //��yy((r G 7 G -- -- x CU/LL/fIn' C� - /"( ILL C�_" $freet`�Apt. �C,��--%�/ /iI �V)L�C.L-.ICJ/✓ r'- Street Apt.No.�- 1 �� or PO Box No l or PO Box No/�a:�2 �, C.p /1/ED 7L . '' r� w.7 i1 U0 tom- `City State,,,ZIP,-4 City s e.ZIP-,4 f /I T LCr/':2n. CC; 4,,iI 21i.41>A L' !psi, PS Form 3800,April 2002 See Reverse for Instructions. PS Form 3800,April2002 See Reverse for Instructions U.S. Postal Service U.S. Postal Service CERTIFIED MAID RECEIPT a CERTIFIED MAIL RECEIPT (Domestic Mail On/y;.Na Insurance Coverage Provided). r- (Domestic Mail Only;No Insurance Coverage Provided) r uT m o m DALLA0, TX- 7: 1 ru _ a r . . I Postage S 0 37 {UNIT ID: 0054 Postage $ I UNIT ID: Ceni4ed=ee 0054 rTl 0 Certified Fee _ Postmark Return Recept Fee I t' Here a •Return Recei t Fee F Here a CI (Endorsement Pequnedl 1.75 (Endorsement Required) Here CT Restricted Delivery Fee I Restricted Delivery Fee 0 (Endorsement Reguned) I Clerk: KD16RW OO (Endorsement Required) —Clerk: KD16RW ..—r- Total Postage 8 Fees I $1=1 rl 4.42 10/15/02 Total Postage&Fees $ 4.42 10/15/02 -12 SentTo Ill rR I s .Lisa Witherspoon,Merit Energy {I o sari&)-4Jivt € l- 4,t4 C 46NDe/V/rJ6i a Street,Apt.,No..or PO Box No. r' Street,Apt. o: o 12222 Merit Dr. , Suite 1500 or PO Box N�4y2/ &et& Cry �, 1 O City,State,ZIP, City,State,Zip. 7 r Dallas , Texas 75251T 1--a/-.9 CO ,�'p� 7J PS Form 3800.May 2000 See Reverse for Instructions •r r r r U.S. Postal Se e' m CERTIFIED MAIL RECEIPT N (• Domestic Mail Only;No Insurance Coverage Provided) U a- 1` Postage $ 0.37 UNIT ID: 0054 I ) O Certified Fee Postmark O Return Receipt Fee Here (Endorsement Required) 1.75 Restricted Delivery Fee (Endorsement Required) Clerk: XD16RW 0 Total Postage&Fees $ 4.42 10/15/02 0 Sent- )/ z. `/• LISA�•�S mI,/7-g/ / 1� r' Street.APt.No.:/ / �� L i-1.) (,Tyr kip, /C or PO Bax No City - / / tce.IPA l u / ' Co �) ar t U.S. Postal Service C CERTIFIED MAIL RECEIPT (Domestic Mail Only;Na Insurance Coverage Provided) Ui m ru• FBRT LLFTB 1, CC 00 tti Postage S UNIT ID: 0054 rertif.etl Fee • p Postmark p Return Receipt Fee Here (Endorsement Requirea) p Restricted Delivery Fee O (Endorsement Required( Clerk: KD16RW 4.42 Total Postage E. $ 10/15/02 Fees � O Sent To/t Wit, - n/ f f l4/ZT, 1i ,4.C1v 1,C - r- Sneer.Apr Nb. 7•-3G / (.UeLD C Ty, iCi), �C_ or PC Box No / C�(VZP , C S L[IiT6N G U.S. Postal Service co CERTIFIED MAIL RECEIPT ✓ (Domestic Mail Only;No Insurance Coverage Provided) m IT" r Postage UNIT ID: 0054 U, p GertRietl Fee p Postmark p Return Receipt Fee • Here (Endorsement Required) uv Restricted Delivery Fee O (Endorsement Required) -Clerk: KII16RW Total Postage a Fees $ 4.42 10/15/02 ru p Sent To -4vyr- Street,Apt.No.: (� d [ or PO Box No. 7/ •S /2 / s'C.. Ciry•State,ZIP+A �J Hello