The URL can be used to link to this page

Browse Search

Home My WebLink About20002778 RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR 3.2% BEER LICENSE ISSUED TO LINDA FANGMEIER, DBA OUR LITTLE STORE - EXPIRES NOVEMBER 30, 2001 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, Linda Fangmeier, dba Our Little Store, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a County Retail License for the sale of fermented malt beverages, containing not more than 3.2% of alcohol by weight, in sealed containers not for consumption at the place where sold, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II., C., said applicant has paid the sum of$57.50 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State License for the sale of 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 4821 Yellowstone Drive, Greeley CO 80634 NOW, THEREFORE, BE IT RESOLVED that the Board of County Commissioners of Weld County, Colorado, having examined said application and the other qualifications of the applicant, does hereby grant License Number 2000-06 to said applicant to sell 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chair of the Board of County Commissioners, attested to by the Clerk to the Board of Weld County, Colorado, which license shall be in effect until November 30, 2001, providing that said place where the licensee is authorized to sell 3.2% fermented malt beverages in sealed containers not for consumption at the place where sold, shall be conducted in strict conformity to all of the laws of the State of Colorado and the rules and regulations relating thereto, heretofore passed by the Board of County Commissioners of Weld County, Colorado, and any violations thereof shall be cause for revocation of the license. 2000-2778 pC : L:ff/e S/tre) SO LC0021 RENEW 3.2% BEER LICENSE - OUR LITTLE STORE PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 6th day of November, A.D., 2000. BOARD OF COUNTY COMMISSIONERS Lek, W D COUNTY, COLO DO ATTEST: tiro A a Barbara J. meyer, hair Weld County Clerk to the B. .rd' '�° ie . J. ' 'e, Pro-Terry BY: Deputy Clerk to the B.� s 1 O W i orge . Baxter APPROVED AS TO FORM: mall County 42eH Glenn Vaad 2000-2778 LC0021 ONLY 3 .2 % BEER SOLD HERE '/e xl '. { a..* /s? i sa. psi iF i e ",.'.,3 ei d'h_ r. 555??' 6 :S° .i a' r -ii is, . �Z5..t i- '.,,�.. i% " .,h \ \\ e; art,',\,,,*At ,u- ' .ie ' 00 T\.,. ri41 \M 4 rr ^ ` \\y 5 / J. a\\ ,'w r ,2 y\. ..F,/. ^-�\��+ >l Ir ,, : a. �. . `\ �.,, ,fa .tr s -.. - .a/j \\a F 0/ ,y\a4. 5 fi,: 4. // \..�/ S bs ., "1, .p -. t ,t / =.�.( 'Z+.i'i ;Y 1, - +... ',,,,,4.\\ a"-P ✓r i a. u/ti f ''k x\ .,,d., p y�aZ! /l/ a\\t,... . :t x t rY xu :-Yff i x {A s ion .. /A\ is S t,/S\s as ✓ .. +!y"A r ss+ r Y•n '�• ,,,',..,A,,V. a let t-, ;041, ;''� - t ,4 -r, 4 �•41 -------;r(• 7' `` r' STATE OF 'LL �'` ,s COLORADO i /annia.H—Niiiti . v ° COUNTY OF WELD ,, ,. c� b,,.=r BY AUTHORITY OF THE BOARD OF COUNTY COMMISSIONERS ' ,_0 t:. :',1-;;;;;;-..7,.„41. , Fermented Malt Beverage License `'/!� , f 7 � ,y RETAIL ''�� ®j Chin is to Cfrrtifu, That kiwi& _F_angme.Ler,_ _d ha I>` 1 i rar.„ of the State of Colorado, having applied for a License to sell FERMENTED MALT BEVERAGES at retail and having ::",,,74;1*,,,t.)-1,..4117 1eliii, , paid to the Treasurer of Weld County, the sum ofk'itxy-semen-and_5011D0 Dollars therefor, the above applicant is hereby licensed to sell FERMENTED MALT BEVERAGES containing not more than 3.2% of Alcohol by weight at f ._ �� t 4$21 Xe_i_lows_tone_Arive.___0zraelayr__Calarada_8063A v“ in the County of Weld, Colorado, for oneyear from the 29th day of linsembex 19 2000, 'fi l,r ` Z� i 'E I s s r to the 30th day of November 192001, unless this License be sooner revoked >,(4:1 :11,,,,t'l a_ ��_ as provided by law. y -nrcipi ' ' "` ' This License is issued to the Laws of the State of Colorado, and especially under thepro- i .' .. ' ,t' • ` _; ' subject P Y o-�, c♦ yv r `n T: visions of Article 46 of Title 12, Colorado Revised Statutes, as amended. �t °'` Asa _: IN TESTIMONY WHEREOF, The Board of County Commissioners has hereunto subscribed its -,_ s, nam y its flit rs d y authorized,this 6th day of November 192.000 - a=�, `> • + e e _ rriarr y fi' ---- §1 - • d r II-44-gr.,-+. b-1 ; 3.3-. :sc�.y ,'. ' xq-g�'z-�-i \ �„y: „r.4"£- § 2..� a .,t*�LS.-+2�.,.4- zx: ,.',4;;" Y '3 sir x y . ,a -- t �.z z�� #s .i: - 0 .r 1ct-.4 eferlw i •,I '-f 4-1,--;--‘-x-<----;;--,',.,-t-4:-'-`--.2,7 ) ^-# -$.$ + 5- s R� t a r t r'A�� 1 to L3 s f �5;'` 3 4. f. s , e e � t i �'/r ' / A l ..? ' ;,,,,;;:l.,* / Y Y I 1' .A /r , !,. LA /r ��\' ,!/r 9v y+\ /�/o. ' - '•_a rM/ A� it \t /F tw,VA .. V{ Ir - -�.fie, e. 94 l \ ::. • ,. h''' �q,... ..,,. 1- J•••.• . •the/' TA TIT! TTACTr'T MT AL Olen ten--It-tA-tw maw - - THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 8402 I02/920 • . STATE OF COLORADO DEPARTMENT OF REVENUE • Liquor Enf orcement Division 1375 Sherman Street Denver,Colorado 80261 FANGMEIER LINDA A OUR LITTLE STORE 4821 YELLOWSTONE DR • GREELEY CO 80634-9119 • ALCOHOL BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date LICENSE EXPIRESAT MIDNIGHT 24-91662-0000 03 206 005411 I 120198 NOV 30, 2001 Type Name and Description of License Fee 2122 3.2 PERCENT BEER RETAIL $ 50.00 LICENSE (OFF PREMISES) 2190 COUNTY 85 PERCENT OAP FEE $ 42.50 TOTAL FEEISI $ 92.50 This license is issued subject to the laws of the State of Colorado and especially under the provision of Title 12, Articles 46 or 47, CRS 1973, as amended. This license is nontransferable and shall be conspicuously posted in the place above described.This license is only valid through the expiration date shown above. Questions concerning this license should be addressed to the Department of Revenue, Liquor Enforcement Division, 1375 Sherman Street,Denver,CO 80261. In testimony whereof,I have hereunto set my hand. C V 4A,LA G NOV 1 u 2000 0( -��t .�. Division Director KA Executive Director License Number License Type DR 8400 (10196) LIQUOR OR 3.2 BEER LICENSE 24-91662-0000 2122 COLORADO E LIQUOR ENFORCEMENT MVEIRA DIVISION1375 A RENEWAL APPLICATION Liability Information DENVER CO 80251 03 206 005411 I 120198 Business Location 4821 YELLOWSTONE DR FANGMEIER LINDA A GREELEY CO OUR LITTLE STORE 25701 WCR 54 1 /4 Current License Expires NOV 30 , 2000 KERSEY CO 80644 • PLEASE COPY FOR YOUR RECORDS ❑ This renewal reflects no changes from the last Application for renewal must be filed with your LOCAL application. Complete page 2 and file now! LICENSING AUTHORITY at least 45 DAYS PRIOR to the expiration date of your current license. ❑ There are changes from the last application. Complete and attach page 2 (DR 8401)and if a Exception: Wholesaler, manufacturer, importer, and public corporation, DR 8177 — Corporate Report of transportation system license renewals do not need Local Changes; or if a Limited Liability Company (DR Licensing Authority approval and must be returned directly to the Colorado Department of Revenue at least 30 days prior to 8405). All other changes of ownership require a the current license expiration date. transfer of ownership application See your Local Licensing Authority immediately. F4 fy blLL i jt Hl NEW/YL AT LEAS f 45 ❑ Delivery Permit requested? Retail Liquor Store, DA ;TO THE EXPIRATION DATE OF YOUR Drug Store or 3.2% Beer - Combination On/Off IDikY,RESULT IN YOUR LICENSE NOT Premises Licenses ONLY. Check the box if you 1 EHEIIVC RENEWED. want the permit to be issued . . OAThOF:APKICA IT i I declare under penalty of perjury in the second degree that this application and all attachments are true,correct,and complete to the best of my knowledge. Autho i d S nat a Date Business Phone a 6T .s�- f/Z3/C0 9/0 339 4zO -r._ Title of Signer(if corporation) Sales Tax Number 4y- 9/dda — OOO i AEPQRT:Al+lk APPRPIAk9F1U 9AUTHQR171C The foregoing application has been examined and the premises,business conducted and character of the applicant are satisfactvp ass► and we do hereby report that such license,if granted,will comply with the provisions of Title 12,Articles 46 and 47,C.R.S. '" t` j., / ` THEREFORE THIS APPLICATION IS APPROVED. Vv Local Licensing Authority for I Dat'', .�'J:' ❑ Town/City ® Co n y .� t ,,,��!„;b�.� ye ld County, Colorado ' ( to Si ature Title Chair, Weld County Attes re. ,• /� y�tw JAAi0 LIZA J/,L Board of Commissioners , ' ,' i a '1^ — 0 T DETACH DO NOT DETACH ' ".t' t�`'(/4>Jl.1717(itM dal4 OR 8400 0RAD(MISS) OF REVENUE LIQUOR OR 3.2 BEER LICENSE 21 137 5 $HERMAN 5T DENVER co 80261 RENEWAL APPLICATION Business Name LICENSE NUMBER(Use for ell reference) RENEWED LICENSE EXPIRES AFTER OUR LITTLE STORE 24-91662-0000 11 -30-01 TYPE OF LICENSE ISSUED CASH FUND STATE FEE 3 . 2 PERCENT BEER RETAIL COUNTY 85% OAP LICENSE ( OFF PREMISES) 2330- 100 ( 999 ) 2122-750 ( 999 ) 2190- 100 ( 999 ) $ 25 . 00 $ 25 . 00 $ 42 . 50 TOTAL AMOUNT DUE $ 92 . 50 2000-2778 / Make check payable to:Colorado Department of Revenue n ' DR 8401 (0797) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1881 PIERCE ATTACHMENT TO LIQUOR OR LAKEWOOD,CO 80261 (303)205-2300 3.2 BEER LICENSE RENEWAL APPLICATION This page must be completed and attached to your signed renewal application form. Failure to include this page with the application may result in your license not being renewed. Trade Name of Establishment State License Number vt r1( cJ/tt .2 Li- q/6 „i- vo0 1.Operating Manager Home Address Date of Birth et 1 n ci a A. Flo h??n e er- ,15 7 0( Gri'w_ 5 ';r'/e( , (c SO6 L 2. Do you have legal possession of the premises for which this application for license is made? Yes No Are the premises owned or rented: If rented,expiration date of lease: 3. Has there been any change in financial interest(new notes,loans,owners,etc.)since the last annual application?If yes,explain in Yes No detail and attach a listing of all liquor businesses in which these new lenders or owners,(other than licensed financial institutions)are r materially interested. CY 4. Since the date of filing of the last annual application, has the applicant,or any of its agents,owners,managers,principals,or lenders Yes No (other than licensed financial institutions), been convicted of a crime?If yes,attach a detailed explanation. n [4- 5. Since the date of filing of the last annual application,has the applicant,or any of its agents,owners,managers,principals,or lenders (other than licensed financial institutions),been denied an alcoholic beverage license, had an alcoholic beverage license suspended or Yes No revoked,or had interest in any entity that had an alcoholic beverage license denied,suspended or revoked?If yes,attach a detailed La- explanation. 6. Does the applicant,or any of its agents,owners, managers,principals,or lenders(other than licensed financial institutions),have a Yes No direct or indirect interest in any other Colorado liquor license(include loans to or from any licensee,or interest in a loan to any licensee)?If yes,attach a detailed explanation. 7. Sole owners or husband-wife partnerships answer this question.Since the date of filing of the last annual license application: Has ownership changed in whole or in part,from a sole owner to any other person,partnership,corporation,or limited liability Yes No company other than the licensee listed on your state liquor license?If yes,this license must be transferred to the new owner and may not be renewed.Contact your Local Authority immediately. 8. Partnership applicants must answer this question.Since the date of filing of the last annual license application: Yes No (a) Are there,or have there been any general partners added to,or deleted from the partnership?If yes,this license must be u L] transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. (b) Are there,or have there been any limited partners with a 10%or more interest,added or deleted from the partnership?If yes,this r license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. t 9. Corporate applicants must answer this question.Since the date of filing of the last annual license application: Yes No (a) Are there,or have there been any officers or directors added to,or deleted from the corporation?If yes,complete and attach DR 8177 and submit to your Local Authority immediately. L (b) Are there,or have there been any stockholders with 10%or more of the issued stock,added to,or deleted from the corporation? r If yes,complete and attach DR 8177 and submit to your Local Authority immediately. (c) Date of filing last annual corporate report with the Colorado Secretary of State: _._.._ 10. Limited Liability Company applicants must answer this question.Since the date of filing of the last annual license application: Yes No (a) Are there,or have there been any managing members added to,or deleted from the company? If yes,complete and attach �� DR 8177 and submit to your Local Authority immediately. (b) Are there,or have there been any members with 10%or more membership interest,added to,or deleted from the company? If yes,complete and attach DR 8177 and submit to your Local Authority immediately. j ( Li (c) Date of filing last annual LLCO report with the Colorado Secretary of State: 11. Bed and Breakfast applicants must answer this question and certify compliance with 12-47-118.5 C.R.S.,to the state licensing authority by initialing the following listed questions: That it has no more than 20 sleeping rooms,and That it provides at least 1 meal per day at no charge other than for overnight lodging,and _ That it does not sell alcoholic beverages by the drink or in sealed containers,and That it shall not serve alcoholic beverages for more than 4 hours in any one day,as follows: MONDAY HOURS TUESDAY HOURS WEDNESDAY HOURS THURSDAY HOURS FRIDAY HOURS SATURDAY HOURS SUNDAY HOURS From: (. >4 m. From: b m. From: 6 6-m. From: b /m. From: Am. From: /g m. From: d .04 m. To: !e f m. To: (8 p m. To: r c pm. To: i' D }n. To: /L.) /m. To:/ pm. To: /o pn. LIQUOR/BEER RENEWAL REVIEW FORM Date: October 17, 2000 TO: Mike Wilson FROM: Kim Fliethman SUBJECT: Liquor License Check In accordance with the new procedure for Liquor and/or beer license checks, please review all records on the following establishment for any associated reports during the last year and return your report to the Weld County Clerk to the Board's Office within two weeks. Your report will be used by the Board of County Commissioners in considering renewal of the liquor and/or beer license. PLEASE RESPOND NO LATER THAN: OCTOBER 30, 2000 ESTABLISHMENT: LINDA FANGMEIER. DBA OUR LITTLE STORE 4821 YELLOWSTONE DRIVE GREELEY, CO 80634 Current license expires: NOVEMBER 30, 2000 No concerns Deputy's Initials The Sheriff's Office had a concern and the deputy has mutually worked with the licensee to correct the concern. (Complete Attached Worksheet) Unresolved concerns exist requiring a Probable Cause Hearing scheduled by the Board of County Commissioners. (Complete Attached Worksheet) **#*******#****##****#*****###***}*###**********#***i*}##*****#******** Please notify at Extension of the date and time of the Board of Commissioner's renewal hearing. MEMORANDUM osieftti, To: Esther Gesick, Deputy Clerk to the Board October 16, 2000 TT ( From: Bethany Salzman, Zoning Compliance Officer, Dept. of Planning Services �:•� �`� Subject: LC0021 Review of the following liquor license renewal by the Department of Planning Services shows the following: 24-91662-0000 Linda Fangmeier dba Our Little Store 4821 Yellowstone Drive Hill-N-Park Greeley, CO 80634 Zone District: C-2 This use is allowed through the zone district and a Site Plan Review was not required at the time of the zone change (Z-288). There are no active violations at this time. c�. SERVICE,TEAMWORK,INTEGRITY,QUALITY FecEx U,SAAirbill iseSlap 3225729323 keggli's 1. 94 SO,© From(please print) � Me als °In;,"e`eNe"" Ex Pack Service wrier sift be 4te n tear r.s Date 11/15/2000_ Serdar's Fedbc Account Number—_12S3-198a"- ---_ ❑EedFx Priority Overnight ❑Foci&Standard Overnigh, Fad Ex 20 'Mee Minus mar I pN4 Wmw../r.mrm! 'Setae Mt M...dm') E VEWFedExFirstOverni Overnight •F.dExL.nma.i.nonAraaaeb Nye /Clerk to the Board P11g1e1 970B56-4000x4225 ; rliet.rtboort..,o,n,ngde„.ryioWertbcaco l 0..pomchugy: �.�.— I Piller,M...eple On.pound Heat 2oar rats DeptlFloor/Suae/Fioom ICOUNTY Of MELD Eni Express Freight Service Packages dew IOU o.K.ry k same money 1 corpen� �e4rerh i...na. EFedEx Overnight Frght e FedEx Way Freaght FedEx Express Sever Freight (N.rr Marmon der urea ❑(Second dlideas-0.v ❑IDp n S h.lnse.dar sreco Address !15 10TH ST PRINT SHOP ,or env*karat e.Ma.he env di.e.r..l otfr.ip.npalatal 'Celt for delivery schedule.Sae beck for detailed descnphone freight produnisl ®Packaging ��,,FedEx G FedEx FedEx FedEx Ome Ckv 6REELEY — State C0 Lp d D 8 3 I —oul:`��WeomeaeoB� Fl ❑rNbe ❑I'kg _, ©Your Internal Biting Reference Informationtill IOptlondl 6hr to characters will appear Oninvolc.l -..A..... ....--- Special Handling wa.eam.r. Does this shippeent contain dangerous pods? ❑Yes C vas ®To(please print) l___]Dry Ice CALJ Cargo Ail c raft Ond RKOierd's u arlc.g.w pus el-. x kg.sus E X303 ► 245-200 lo•r'C.rave Grade Shippei.DecUarionnrneWr�— Name —Liquor Enforcement DivisiQn _ Phone DepURoo'JSufe(Room ®Payment BIN rx�i.e-noder n FlRecipiert rilhudParry JCredKCard r-Check cg,,,pgr,y _/Cobra �Departm_ent of Revenue_.. ._....---_.__.._ ,.„nnl*IMnl MO l.mm;no..ac anl'0 m Erwin Caw,re Mwl----- 188 _Pierce_ Street _—QQm_#108 FedEx Address R -- _-- Account No. _-- --- Ito'HOLD'e FadEr location,print FedEx edd.us here) We Cannot Deliver to P.O.Bombs or P0.4 Codes) Credit E.ep. Card No_ .__ __ .— .___Deb-- .. City For HkewoQd—_ ------.._ _stata__C1.Q_—Zip-80214 Total Packages TotalWeigM Taal Duele dWNM �e FedEx Location check here For Saturday Delivery check here $ 00 __ Hold Weekday Held Saturday Nor.neablearuse0 Intrl lEreeChug.Nis.•.0Ci.w.elocem•el • --- L_ii art made ble with �Irbl ern4bl.*Id FedEx Fre Oremigm or ri IMot erea.ble w•th F.dEa Md OranlgM .torn]eclued I value ugh.-me SlOO ow 0,0menl,you pay anl,,h ri romp S.eni'AR FtdEx,re 0...nyhe FedEx Silenced Overnight) J a Foam aMnderd Overniomi Ct111o1TIMIS.DECLAIM YAM=UM OF LAetRY nnilal for hnMx ml.rm.aga. Baste Cdedakie,Declared Yelp,and Ltnedtleblety—By using this AAA, acnral loss m e bratty.wvnn Your nght to recover from us tor e.ybse inchdoolrmtnsic Li Release Signeture Srgn to ardhori:e*alive,.withoutnbieinir,g:ignarr^r, you agree to the service condniona in our current Service Guide or U.S. yak*X the Deane,bas of sale*imareet,profit attorneys tees,cost.std nlher loons Government Service Guide. Both are avadabla on request SEE BACK OF d damage,whew direct rodents',consequential,or specie.,and n lotted to the SENDEASCOPY OF THISAIRBILL FOR INFORMATION ANOADOmONA1T6iM5 greeter of Eton rxdnedeclared valuelnt cenfol exceed actualdocumerrted loss.The ----- --'----'— -- .--- We wa rot ha'avowable for any claim in excess d CM per package whether masxnun declared vakx for any FedEx iemar and Falb PM a 5SW.Feder*Express your egnaten edkont i Federal Eapr.a to dairy Mal*. o the react of bea,damage,or del rrorvd tra.nyo.tasorl pe end hold h prmle.e Federelrbrpre,o from any'e etlny dime. Y ey akre•Y.mutleeve•1'.or mledfprmaam, mey,uponv�+eaiaac aid web vrekm'Ilretlma,rehxdd charges b bust carless you declare a higher value.pay en additional charge.and document your See the FedEx Service Grade for further details. L272 Rev Date e/98 Questions? The World On Time 0`�'*` ` CeN 1 IBOQ Go Fe�x (1 604 x63 3336) 'a 1{S A _ ,..... ..... _ ._----- -.-,-,-- - _.._- ._ -.... ... .--.-.._ .._..--- ........ ... .. . • • i3 • • • A {V P 387 471 879 RECEIPT FOR CERTIFIED MAIL . NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) 1O Sent to Lv now ,c /ineter- ar G`fge t:5fore w styes+And_No'Y�a�/ reJ/o& 7'4e .Dr;✓e- a P O State and ZIP Code y creeleif) CD X0635/-9//9 Postage 5 Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered in m Return Receipt showing to whom. Date. and Address of Delivery C C TOTAL Postage and Fees S mPostmark or Date TT E i —" OZ) `o II- en a m SENDER: I also wish to receive the 'o •Complete items 1 and/or 2 for additional services. following services(for an 'el •Complete items 3.4a,and 4b. m •Print your name and address on the reverse of this form so that we can return this extra fee): ai F2 card to you. ai w •Attach this form to the front of the mailpiece,or on the back if space does not 1.❑ Addressee's Address y permit. 2.❑ Restricted Delivery d •Write"Return Receipt Requesfed'on the mailpiece below the article number. y co •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee. n delivered. y o 3.Article Addressed to: 4a.Article Number o L;irdu. Fan�rme,`er P 36"7 4/7/ /79 '0 E4b.Service Type 15 Dar L%ff/e /-ore, E ❑ Registered tieCertified 8 1/ta/ Ye/lenosione u r'tit ❑ Express Mail ❑ Insured .21 W are tie y eo c "5t" 9,/, Return Receipt for Merchandise ❑ COD 7. Date of Delivery $ 0 Ed Z 8.Addressee's Address(Only if requested m 5( `deceived B (Print Name) 9 and fee is paid) m I- Ix 6/I�n re: �ddressee?or Agent) .� 111 .uld 0�\J(L¢x/jJ/ T PS Form 381 December 1994 102595-98-B•02 29 Domestic Return Receipt Hello