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2014-08-01_REVISION - C1980005 (3)
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2014-08-01_REVISION - C1980005 (3)
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Entry Properties
Last modified
8/24/2016 5:46:23 PM
Creation date
8/6/2014 9:28:18 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980005
IBM Index Class Name
Revision
Doc Date
8/1/2014
Doc Name
Certified Return Receipt (Inspection Notification)
From
DRMS
To
OSM
Type & Sequence
SL6
Email Name
JDM
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G -10 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />AUG u 1 2014 <br />State of Colorado I,. -,,,n of Reclamation, <br />Department of Natural Resources & Safety <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 gap X05 a(Xo� <br />G.16 Note {%c <br />ct%or <br />idlo <br />Ilil,11'Ni I'll Ili lOh? "11jt9,11111 4�f ;, % � <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 />A. <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />!)',;!-v,4 1n1--3D11q <br />D. Is delivery address different from item 1? ❑ Yes <br />_ If YES, enter delivery address below: ❑ No <br />Alan Boehms <br />Office of Surface Mining . <br />Western Regional Coordinating Center <br />1999 Broadway, Suite 3320 erviceType <br />Denver, CO 80202 1 Certified Mau ❑ Express Mail <br />I Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number `?U12 3460 0000 6384 5993 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />
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