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2014-08-08_REVISION - C2009087 (4)
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2014-08-08_REVISION - C2009087 (4)
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Entry Properties
Last modified
8/24/2016 5:46:35 PM
Creation date
8/11/2014 8:14:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C2009087
IBM Index Class Name
Revision
Doc Date
8/8/2014
Doc Name
Certified Return Receipt (Inspection Notification)
From
BLM
To
OSM
Type & Sequence
SL3
Email Name
JDM
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE <br />• Sender: Please print your name, address, an dP+* <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />State of Colorado <br />Department of Natural Resources nN OF RECLAMATION <br />Division of Reclamation, Mining & Saffl ; w <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 C200g-O87 <br />IN 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 />Jennifer Maiolo <br />U.S. Bureau of Land Management <br />Little Snake Field Office <br />455 Emerson St. <br />Craig, CO 81625 <br />SL3 Notification <br />Inspection <br />idmidih _ <br />A. Sig ature <br />X ❑ Agent <br />Addre <br />B. ived by (Printed Name) C. Date of Deli <br />D. Is delivery address different f m item 1? Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail <br />❑ Registered <br />0 Insured Mail <br />❑ Express Mail <br />0 Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Hestrlcted Delivery? (Extra Fee) 13 Yes <br />2. Article Number <br />(transfer from service label) 70123460 0 0 0 0 6384 6 3 3 4 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02 -M -1540 <br />
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