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2014-06-12_REVISION - C1980007 (2)
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2014-06-12_REVISION - C1980007 (2)
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Entry Properties
Last modified
8/24/2016 5:44:45 PM
Creation date
6/16/2014 7:54:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
Revision
Doc Date
6/12/2014
Doc Name
Certified Return Receipt (Inspection Notification)
From
Harris Orion Investment, LLC
To
DRMS
Type & Sequence
SL6
Email Name
JRS
DIH
Media Type
D
Archive
No
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�T,4T�'~� <br />UNITES S -P0 L SEkvrcE ' _ �< �..Y ..._ .• ",...w . <br />1'Arby <br />Pifst'U <br />+.€ . :a r E ', �„�• .,PdSge,`��1 g aid <br />Sender: Please print your name, address, and ZIP +4 in thiVIIDX • <br />State of Colorado <br />Department of Natural Resources �p1� <br />Division of Reclamation, Rtining & Safety � 1ti \a< <br />1313 Sherman Street, Suitt; u,,, `o�o�R &�a .. <br />Denver, CO 80203 -- <br />C -1980 -007 V0"��c�9 <br />SL -6 <br />Inspection Notification <br />jrs /ahh <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Harris Orion Investment, LLC <br />Lisa Escher, Ranch Manager <br />44960 Highway 133 <br />Paonia, CO 81428 <br />A. Signature <br />X <br />B. Received by Tint eg Name) C. Date of Deli <br />v' 6 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(fransfer from service labe 7009 2820 0003 5700 5994 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />
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