The URL can be used to link to this page

Browse Search

Home My WebLink About952272.tiff RESOLUTION RE: APPROVAL OF RENEWAL REQUEST FOR A CLUB LIQUOR LICENSE, WITH EXTENDED HOURS, ISSUED TO THE EATON COUNTRY CLUB - EXPIRES DECEMBER 31, 1996 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, The Eaton Country Club, presented to the Board of County Commissioners of Weld County, Colorado, an application for the renewal of a Club Liquor License, with extended hours, for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, and WHEREAS, pursuant to Weld County Ordinance No. 6, Section II, C., said applicant has paid the sum of $95.00 to the County of Weld for the renewal of the existing license, and WHEREAS, said applicant has exhibited a State Liquor License for the sale of malt, vinous and spirituous liquors for consumption by the drink on the premises only, outside the corporate limits of any town or city in the County of Weld at the location described as follows: 37661 Weld County Road 39, Eaton, Colorado 80615 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 96-02 to said applicant to sell malt, vinous and spirituous liquors for consumption by the drink on the premises only, only at retail at said location; and the Board does hereby authorize and direct the issuance of said license by the Chairman 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 December 31, 1996, providing that said place where the licensee is authorized to sell malt, vinous, and spirituous liquors for consumption by the drink on the premises only, 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. 952272 LC0037 RENEW LIQUOR LICENSE - THE EATON COUNTRY CLUB PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of October, A.D., 1995. BOARD OF COUNTY COMMISSIONERS / COUNTY, •OLOr •DO v ""` '`F'clsself, Dale K. Hall, Chairman ��creld.C Ili' Clerk to the Board FXC:I ISFn 1ATF OF SIGNING (AYE) (° j 1�\ Barbara J. Kirkmeyer, Pro-Tem Deputy C k to the Board FXCI ISFn George E. Baxter APPR D AS TO FORM: _ f] � ,'*,�X" /,, �- � onstance L. Harbert ou y .� I /�>.�,, ' ' i W. H. Webster i 952272 LC0037 THIS LICENSE MUST BE POSTED IN PUBLIC VIEW DR 840 2 110/9 2/ STATE OF COLORADO DEPARTMENT OF REVENUE Liquor Enforcement Division 1375 Sherman Street Denver.Colorado 80261 EATON COUNTRY CLUB THE 37661 W C R 39I N OF EATON CO 80615 ALCOHOLIC BEVERAGE LICENSE Liability Information Account Number County City Indust. Type Liability Date i LICENSE EXPIRES AT MIDNIGHT 14-08839-0000 03 206 5813 C 123169 DEC 31, 1996 Type Name and Description of License Fee 1990 CLUB LIQUOR LICENSE - $ 50.00 MALT, VINOUS, AND SPIRITUOUS 2190 COUNTY 85 PERCENT OAP FEE $ 85.00 TOTALFEEISI $ 135.00 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. testimony whereof,(have hereunto set my hand. & sw 4 C. 0 1 1995 e( Division Director Executive Dire tor 952272 I-Q4'7 .:::i..;:?:•Ilit3la .. :t.:://1111;Sfir,... ,.5lig,: lat7aidtirli3F)77,:aceliV,1,11cflicl:?:;'4dcliiiiifiefitieZIfii51)74 :.: :.';;..I')11;;;‘) .;.7.:;:::-.-:ii -.--..a).'‘'r4':::;..1:../2:.:4.4.0`91.! 1 ),$'4.)figa:NI:)e-1 fall,"!:1;:aH)`;•14"1.7?,•))0.4'.., ....ftedi,!2, ::...7.41,24,7\j?5,,:ic3,,r.\,:s':::Jf,,,r:.,e9erNp/th:. :-.IvAteat41:_- - , .1:wri.„H. 'ti....."•.F.P.J. :!!'”;;;;I: -kfk,!%.?'..Yr. '..- 7:,.:.y..T... ; .), ::- ,wr? ;24;147: Lk1r .: :tf4., ....., 4.i:1/4ti:. -'4:: . :-v-4,,s:::', -Cr :;'4 ca -7- :'* --- :::14 ":- * - '':As. ' ja --.; 4 „,.-..".. t, :,:!,.:,• \ .11;4•01;;Y;••-,PI .7c-7,-.--c,--Hr-1; cC::;.7;.?;,:-.'• _-- C --- -- lt 2,--r . : , 44. .. _cli >., 00 • ' '0 s.•:".•ii'v.. ' ' (•(‘'•\ \ ; /;,: .; M : n• CI 0 ° 1) [•g'.. I ..... .,'; . '' 1/4;ri•';,•;4•1:-.4.-•!.* i n"-----...\ ! •-• \ :-;• ' 0 i 0 I C VI 0 /-* .0 • . 1 .--" st. .1: 2 i 0 : z To. o >, o .; ...._.t: ::..:: Vs.....'..tt.... ',.....e-i CP : 4C T.) (,) el) .0.0 00 ago E ‘;0',1;::•70.- : „,,, )441 1 ei '74 n 0 1 ••tij .2 A 4 id .": .. - v3 : o -..; mr.• 2 . - u • - 61 e-k::::?::<.• t, • .• • 1.1.1 := z cl : _ - 0 . 0 =1 I) w . a : :-. • :-- 6. g : > _ 1 ,..0 CI , I U) P; h4 : eS a CY a.. VII t Lci-AN tj a?a, la Z : E-• al a3 ,,,Ts ..e - fr 1/4.5 .4 14, z: ..te (.1::fit:eri.::::::‘,, :. ::::-.. C r 1 ):,71 -th I Z O AI d -.4 1-• --. a; cp . i , 5. r us 0 z 9) ti o - c a. ... I Limi , t2 .I zo ...8 ..al,- Oa I ... in aa int 0 :1.iaVt, .• Li 8, LIJ 0 ' a E Z t • 61 Ck P1 r.3 . - 1 1. 2 ba E-I ..1' cr3"gj, g 8f.Cij :•• g 44 1.4:4:0.2.-.1-,- i CC 0 1 CA '0 *a 3 w ?.a T,•7 -,-.1- . : • ••••• -*/ i , , . ,::•• fill',IT .f.;:•'•4.1 0, 7, 0., 0.;, 0 44.,.4 Zi. CT, >4 ,10 ,2sE 0 ' Z 0 1 li j : 0 iCTI0 21 21144 E300C•111 -4-0• . E ;,.., . . ; . t:: -.- s- w 0 g . = , = : t = o , zw =• Poesoas -,--- - .---:,' 14 ri E-14 >4 h.. to w i ,-) z 2 -0 .ct - . .;IV ---, % , -. . ....r. 4i - , ,. 1 E- ii• E-I 4• 4-; (0 = 3 .0 ..../.<3 073 ›..b.:4, , . 4'A I id ti. . ,4 = i.... ,... = .a .., .."4 -t) .5 ...a,; ., f ,i,,.... ).. fr. 0 0.4 as 0 en .r.- • C ( Ato 1 n . 1-i o En 1-1 2) 0. g') 3 1/4° ..... ,-. -z. ...a - : , 1/4...;;,. ` -c\ cn e a. z Z Z. ,.7.: ..:41 g , ‘,.°.„ 0 ....n .;:.,• d C -, r‘. ..".... ,.4i.u.ariti. josip i.‘ „.." o:i o Z 2 in ; = = . 0 - rn 7, en el-c -rn 0 ,,e- -,-.Err}.7, . .,,- Oadc0 . 0 )=: ° • tr.) ai ...a -5 ..-' 0 rS -.,341/4,irs.- ,...w j . z 3 :=. 0 ..., ...a z '., ,s ...., ,„c ns5.... -s 5-„ya 1/4%aro - - z G° 3 3 E-1 S 0 U Ca v.) ‘X i , , - ) 3Ip 10 0 03 = Q IH a•-ss ce1/4‘4,: is"( --Y \ -----: Z rg rw w ca a' , 1" X 6 H 3 Q 7. 0 z 8 > E.4 .... 0 E-4 E.' cr. •"Z ct.) Z• 0 u.1 CD ° smo 0. .4 i 74 7 7 r-• > f1.! " • 01.0 401 " -• 0 Z g 0 ••••: 'I) 1-•Et °I '-' . . C.) ('-g%2›:t 01 U t: j H 6 H 3 5-) .-0 = .5 -3 .. ....-5 Hi° •rati il w \-,,:::-„,:e9i,-.,:: • 1- E• a 2. 4 * 02Pt . 4" 0 .411 ›i • z '''. % /2:::::•:7:•`"t!?(‘-•%' . 11 n j 01 0 = Q t.' s; gg E • o = c: ; .t, „.2 ..... en it:S..-$.,',"?' • •'-^-..... I. < -E. g ,2 ... g w •E am - . 22 Ps1 . pi • ;,,„ 6,4 Z 1-',----.;at' 7--._ ' I ›ca. Ls) p.m. 0 - To V, 8 o Z = Pr! °- 0 lad 4 z = w to.-•-• •,. -..,i;';;,-; i i"" -i. 4 0 a) z is ts4 .a. 0 ..c E-1 t-it ...q-. ; -••,---1,-- • ca 0 42-;:te4S;•' , I • , I g 1-4 cri GC -C 0. ,.< immil la a c4 m...2 ...a° __.°5 Lt2e, •=2 it-I •Ta..)- °.ca 1,%an • 1 , i.. . cel :4.k.4- -c-- ci :ay, "' C4 m.• -23 ° ›., g.),ttz ...a ; -':- I ,•: III ' E-1„ 1: 1 2.,cl i P;;.. a: dj:4...,,E4 ''.. ) taitlit00„• IH . 'itiffj".1.17 I. , '21 ty " 0 0 111) = n p.) .... en •---pa. Nj ,, .; . IA 49 .=. .t. we. ,4 e sC:4•11 ! m Ci '1 w z : 75 a)•,..:: c : i ' 0..,,, :. i ,...\--. .,:' ''b) ::.':-.'-....SI CrN'1/4.--_,r„.„-: .---: -.1 a ty2 sr •-.6 ..z If:: -T.- C i-i W:•:,--:,:i.... : c rli to' z > :;,,..-.. -- 4 ; ••••' ;1( ,•-.4:% 7,.r: : ..zi• 52 O ,-; 19 :;;;:-. arWe're#:,'' .•\L.,„„az . . . . ... Itz.L. . -..„.&::.,.. ;Nre..? 4y-L,, ..."..- ; ...;.,.71w.4%,.F.1/4;,,7e%,q.,\:-./0.;77.,#i. ,,,,-,A,tti.y.p,...L7,..,#7,r:L.:14...lit.p!..,:.. .: i:. -• , i,,f,f.,..,;:.,..7;‘,,.,.fati, . - ..,:...::1:i‘dr,r1,..41r;iirAggi ,) .. .. , ,,,:i-Lzin,.5f?th:•.;. ... .1-1.;:titgf.ii: .,....:,:- .. . .i,,,fp,,. ,.,. ...,.“,....,4;::....\.: ,L1,...-.i,:,,,i:f,f, - ....7....,..;•hy-,..,iy..,-. .--44: -._...:.-- .....------ 952,272 DR 8400(8/89) Colo.Dept.of Revenue Liquor or 3.2 Beer License Liquor Enforcement Division 1375 Sherman Street License Number. License Type: Denver,Colorado 80261 Renewal Application 866-3741 Liability Information: J.. . 5 . - �, Business Location: Current License Expires: s , 'I i7/ ©[L9 i/ ©©P YOUR PROMPT ATTENTION IS REQUIRED.FAILURE TO COMPLETE THIS FORM ACCURATELY . SIGN THE FORM AND PROMPTLY MAY RESULT IN YOUR LICENSE NOT BEING RENEWED. • ENCLOSE TOTAL AMOUNT DUE • FILL OUT THIS FORM COMPLETELY AND CHECK APPROPRIATE BOX BELOW. • SUBMIT FORM TO LOCAL(CITY/COUNTY) ❑ This renewal reflects no changes from last application. LICENSING AUTHORITY FOR APPROVAL ❑ There are changes from last application:(Report changes on form DR 8176-"Report of • CHECK WITH LOCAL AUTHORITY FOR AMOUNT Changes-Liquor and 3.2 Beer Licenses"and attach that form to this renewal application.) OF LOCAL FEES. 4 . f ,OATF"APPtIC414,•-' 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. Authorized Signature: ( Date: Business Phone: I - r , s Title of Signer(if corporation): - Sales Tax No. ICI i. 1. ATTACHED DR 8401 MUST BE COMPLETED ALL 3 COPIEs) SUBMIT THE STATE COPY AND LOCAL(CITY/COUNTY)AUTHORITY COPY TO YOUR LOCAL(CITY/COUNTY)LICENSING AUTHORITY NO LATER THAN 45 DAYS BEFORE YOUR UCENSE EXPIRES. EXCEPTION: Wholesaler,manufacturer,importer,and public transportation system license renewals do not need Local Licensing Authority approval and must be returned directly to the Colorado Department of Revenue no later than 30 days prior to license expiration. REPORT AND APPROVAL O LOCAL LICENSING AUTHORITY The foregoing application has been examined and the premises,business conducted and character of the applicant are satisfac- tory, 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. THEREFORE THIS APPLICATION IS APPROVED. Local Licensing Authority for: C'. ,y ry 4 r TOWN/CITY ❑ COUNTY Si nature ' " f t r '� Title i" ' A/l x N1! X. 9$._a mod. ., •., `K',` .q .� y�^, Attest '<(. Date 3 Do NOT DETACH•DO NOT DETACH•Do NOT DETACH'00'1)OTvETACn""DO NOT DETACH•Do NOTOETACH•Do NOT DETACH•Do NOT DETACH• DO NDT DETACH "111ISINESS''L6CA910Tf /v f9 'r tea Ta'�,• .. T ti t-.,s .0 - S ?' t I - USE LICENSE NUMBER LIABILITY INFORMATION ' RENEWED LICENSE r I NAME: FOR ALL REFERENCE COUNTY CITY INDUST TYPE LIAR.DATE EXPIRES AFTER ) CASH FUND STATE FEE CITY 85%OAP CO 85%OAP TYPE OF LICENSE ISSUED 66-01 (9) 41-9 (9) 45-9 (9) 37-1 (9) 49.1 (9) •• Make check payable to: TOTAL AMOUNT DUE* r COLORADO DEPARTMENT OF REVENUE EXTENDED HOURS—Applies only to Hotel and Restaurant,Beer and Wine,Club,Tavern, Extended hours? ) and Arts licenses.If desired,check"yes"and enclose Total Amount Due PLUS$470.00. 0 Yes G No r 952272 ia37 DR 8401 (07/94) COLORADO DEPARTMENT OF REVENUE LIQUOR ENFORCEMENT DIVISION 1375 SHERMAN STREET ATTACHMENT TO LIQUOR OR • DENVER CO 80261 (303)866-3741 8_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 Eaton Country Club _ 14-08839 ._ 1.Operating Manager Home Address Date of Birth Darlene Lucas 717 17th Street . Greeley . CO 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:_1Ln e d_ _it 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 materially interested. 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. L J x 5. 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 denied an alcoholic beverage license,had an alcoholic beverage license suspended or L revoked,or had interest in any entity that had an alcoholic beverage license denied,suspended or revoked?If yes,attach a detailed x 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 r'l Ll licensee)?If yes,attach a detailed explanation. lJ 7. Sole owners or husband-wife partnerships answer this question.Since the date of filing of the last annual license application: Yes No Has ownership changed in whole or in part,from a sole owner to any other person,partnership,corporation,or limited liability _ company other than the licensee listed on your state liquor license? If yes,this license must be transferred to the new owner and L_xi 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 transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. �l (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 j I license must be transferred to the new partnership and may not be renewed.Contact your Local Authority immediately. lJ Uc� 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 L xl DR 8177 and submit to your Local Authority immediately. J (b) Are there,or have there been any stockholders with 10%or more of the issued stock,added to,or deleted from the corporation? I -1 �x 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 n DR 8405 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? -� It yes,complete and attach DR 8405 and submit to your Local Authority immediately. (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 HOURSSATURDAY HOURS SUNDAY HOURS From: 9 O O m. From:9 : 0 0 am. From? : 0 0 an. From:9 : 0 0 am. From9 : 0 0 a m. From9 : 0 0 a m. Fronf) : O O a In- To: 10 : m. To: 10 • 0 Om. To: 10 • 0 On. To: 10 : 0 Om. Tot : 0 0 a m. To:2 : 0 0 a m. To: 10 : 0 On. 952% a 41 GpUNTR1- Eaton *'" w Country Club • P.O. Box 240 - Eaton, Colorado 60615 Phone (303)454-2106 1995 EATON COUNTRY CLUB BOARD OF DIRECTORS President: Kent Reitz 35446 WCR 19 Eaton, CO 80615 Vice President: Kathy Carlson 6444 S. Harrison Court Littleton, CO 80121 Secretary Treasurer Don Chadwick P.O. Box 202 Eaton, CO 80615 Board of Directors: Lynn Achziger 845 Ponderosa Court Eaton, CO 80615 John Bowness 820 Ponderosa Court Eaton, CO 80615 William Holmes 1626 Montview Road Greeley, Co 80631 Walt Sparrow 2055 1st Avenue Greeley, Co 80631 • sJFi.r 1 �'227 DATE: October 17, 1995 TO: ROSEMARY LOPER, RECORDS FROM: OFFICE OF WELD COUNTY CLERK TO THE BOARD SUBJECT: LIQUOR LICENSE CHECKS Please run a records check on the following establishment for any incident reports associated with its address. This information will be used by the Board of County Commissioners in considering renewal of liquor license. PLEASE RESPOND NO LATER THAN OCTOBER 20, 1995. Thank you. ESTABLISHMENT: THE EATON COUNTRY CLUB 37661 WCR 391 EATON, CO 80615 INCLUSIVE DATES: 10/17/94 - 10/17/95 BY: LIN DODGE, D/ u Call 356-4000, ext. 4226 WHEN COMPLETED, OR IF QUESTIONS. + * + No violations/incidents on record. BY: 1, Alin) DATE: /d'r' fi j INCIDENT REPORTS (PLEASE LIST OR ATTACH) BY: DATE: k:\shells\ligcheck 952272 'Oral MEMORANDUM WELD COUNTY Cn rii7,S!C$ir'RS TO: Board of County Commissioners October 1 $g9 18 pH 3: 23 COLORADO From: Keith A. Schuett, Current Planner II CLERK TO THE BOARD SUBJECT: Liquor license renewal LC-0037 The Eaton Country Club 37661 WELD COUNTY ROAD 39 Eaton, Colorado 80615 Pt Sec. 30, Township 7 North, Range 65 West of the 6th P.M., Weld County, Colorado (NCU-272) A Zone The use may continue so long as the use remains in compliance with Section 70 of the Weld County Zoning Ordinance 952272 EXPLANATION AMOUNT 5 4 61 OOUN TRY „ ° �� EATON COUNTRY CLUB > y- m P.O.BOX 240 454-2106 82-461-1070 Ak EATON,CO 80615 ea INT DOLLARSi CHECK AMOUNT CHECK rE TO THE ORDER OF GROSS NUMBER 12, ...___u&--- DESCRIPTION . -'62 jJ EATON BANK d � S t « or m 2 2' > it a P 387 472 031 • a > = ma d CC w RECEIPT FOR CERTIFIED MAIL d ° H o w ¢ c '> 2 NO INSURANCE COVERAGE PROVIDED Y y y m m d E 2 c G NOT FOR INTERNATIONAL MAIL u y - w �Q F. N a 7 !See Reverse) -c 3« E S 0 ccw W e cc e _ COLORADO DEPT OF REVENUE 2 .s ❑ ❑ ; E a - > H. I- LIQUOR ENFORCEMENT DIVISION a _ z~ - ' c w ch To ur ° Hv m y CA o - STATE CAPITOL ANNEX 2 T v m c o o d o f�2 1375 SHERMAN ST 0 o r m w ' a °1 v 0 w Cl) C O N m % co 102 0 DENVER CO 80203 E w x ¢ O w o a CO o « C w• 'a❑ L ❑ ro C U Certified Fee CD 1 N . 0 U ° d I Special Delivery Fee 5 o m SQ H $ E om o Restricted Delivery Fee �' m 6 C > T « W O o 2 E c Z o Return Receipt showing - . to whom and Date Delivered Ko c « > 0 • o n m W F m Return l showing to whom, p 0 2 O y ¢ Z X m Date.and Address of Delivery =a w ° r,; ° q. IL) Z �'/ eh C N c. d o °._ c000 TOTAL Postage and Fees S va?•. E N Q W Q r) — aamoYo.¢ •°' O. - N. m v._ o. CC O m m Postmark or Date ri m tw. y0 6 .2 0 O O 6 m w ° co X a K Oin 0E Ether ' ` ' 0Z v 0 p vE Bvm«w ° E2 aWVw o e�-7 //� m E 2c m cot— w Co CD r CO a, CLw¢ c00 > C9 5 m 01- Wan>' 5Nu . 0JHcrW c c E' ComY « mYU . CD 0 3wca a WoWo ` U y f7 LLUUaga3 y U7• • • « • a • E. r to to Un r-rar?"'., at.14 :. i P 387 472 032 m " � . .. 4,3 o m RECEIPT FOR CERTIFIED MAIL m r o W NO INSURANCE COVERAGE PROVIDED > C o > w _% 2 y y Lo NOT FOP INTERNATIONAL MAIL Ni, m Q - NI 0 9 _ CC (See Reverse) d o " p 2 .ak a Ix co > 2 I 22 " DCC 22t. A �' Er c u y ` CO d0 y O m m f- rhe Eaton Country Club 0 a y E ` " °`� W 3 H Q ¢ o ❑ ❑ ❑ >{N. E... V a 37661 WCR 39 H co ❑ ❑ a a _ > rn a° F " =aton CO 80615 w 3 , _ kt," ' y co + o $ N C Z D N .� LLI " � mw a °-i t d • morn " m. 0`�c Q Em K Q N Z O x 0 Qm Special Delivery Fee w .- c O O❑ ❑ r- oo I$ c m F n c0 Y 2 m m A Restricted Delivery Fee o a 0 ail Tsffi4 Return Receipt showing m m y E to whom and Date Delivered " y 'n t 2 m Return Receipt showing to whom. o 0. E c ui Date.and Address of Delivery '« m m o m a r • .c p TOTAL Postage and Fees S C m c c,� o S Doro d 0 0 8 Postmark or Date N D4 y"j« 0- c. m n co Ew a" LO E °aam m a C _cyj U cn mmmc E "¢ � 0CK m OO E EE9 0o Ea c U p pt ap .«.« cd amE OL.)mm2c 'yyoc N o 00 CC d a) o o a, o W _ C « c coN.wao. m om m o - CO O c E QEEc m tt N (O + rn cn ( . W UUa= «W3L � I— MIIII I V as 65 N tit CO • • • • a • rnn t0 a • 952272 Hello