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2014-04-04_REVISION - M1977302
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2014-04-04_REVISION - M1977302
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Entry Properties
Last modified
6/15/2021 5:40:47 PM
Creation date
4/4/2014 10:46:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977302
IBM Index Class Name
Revision
Doc Date
4/4/2014
Doc Name
Adequacy review #3
From
Pete Lien & Sons, Inc.
To
DRMS
Type & Sequence
AM3
Email Name
MAC
Media Type
D
Archive
No
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SECTION SENDER:COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> • Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter b4v �rew elow: 1:1 No <br /> ery�, <br /> �Ffa ry �S <br /> State of Colorado t�� 1�aif �;ervice.�' <br /> 1313 Sherman Ste <br /> Denver, CO 80203 3. Service Type <br /> Certified Mail ❑Express Mail <br /> ❑Registered X Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7013 2252 0002 2994 5182 <br /> (transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A. Signatu <br /> item 4 if Restricted Delivery is desired. El Agent <br /> X <br /> • Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. F�eceived by(Printed Name) [C�Date b Ii <br /> • Attach this card to the back of the mailpiece, G <br /> or on the front if space permits. J`�'f 1 L:l7ifw � <br /> 1. Article Addressed to: D. Is delivery address different from item 11 ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> Scott& Wendy Limmer <br /> 1483 Ranch Springs Rd <br /> LaPorte, CO 80535 3. Service Type <br /> l$Certified Mail ❑Express Mail <br /> ❑Registered Ig1 Return Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> ( 7013 2250 0002 2994 5151 <br /> Transfer from service label) <br /> HS Form 3811,February 2004 Domestic Return Receipt 102595.02-M-1540 <br /> COMPLETE . • DELIVERY <br /> • THIS SECTION <br /> • Complete items 1,2,and 3.Also complete <br /> A. Signature �/ ❑ ent <br /> item 4 if Restricted Delivery is desired. X i of f�;/d�,' dressee <br /> • Print your name and address on the reverse C. Date f Delivery <br /> so that we can return the card to you. B;deceived by(Printed Name) r <br /> • Attach this card to the back of the mailpiece, <br /> On the front if space permits. D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: if YES,enter delivery address below: El No <br /> Herbert Swartz <br /> 270 Drornara Rd 3. Service Type <br /> Guilford, CT 06437 0 Certified Mail ❑Express Mail <br /> [3 Registered EyReturn Receipt for Merchandise <br /> ❑Insured Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7012 2250 0002 2994 5144 <br /> (Transfer from service label} 102595-02-M-1540 <br /> PS Form 3811,February 2004 <br /> Domestic Return Receipt <br />
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