A.

nature

-

x)~~

~

~

~see

~Ø~eived

by

(Pnp~ed

N

e)

19.

D~tq

of ~l~ry

f~2

rv~

~-

rr r/~’i

0./la delivery address ~(ffer~nt

fmm item

1?

Yes

If

YES, enter delivery address below:

No

3.

Service Type

~Certified

Mail

0

Express Mall

o

Registered

0

Return Receiptfor Merchandise

o

Insured Mail

0

C.O.D.

4.

Restricted Delivery?

(Extra

Fee)

0

Yes

CLERK’S

OFFICf~

AUG

162004

STATE OF tLLl~~~

POllUtiOn Contro’

8o~,

•

Complete items

1, 2

and

3

Also complete

rt~m

4 if

Restncted

Delivery

is

desired

•

Print your name and address on the reverse

so that we

can

return the card to you

I

Attach this card to the back of the mailpiece

or

on

the front if space permits.

1

Article

Addressed to

8/5/04

B

M

AC 2004—057

Tom Romero

Arlyn Ray Exteriors,

Roinero

Holdings,

LLC

3514 Clinton

Pkwy.,

Suite A112

Lawrence, KS 66047—2145

2

Article Number

(rransferfromser,icelabed

7002

O860

bOd4t916i~

4~26

PS

Firm

3811

February

2004

Domestic Return Receipt

1Q259~-O2~M-154