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2014-10-15_REVISION - C1981010 (2)
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2014-10-15_REVISION - C1981010 (2)
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Entry Properties
Last modified
8/24/2016 5:48:55 PM
Creation date
10/21/2014 8:40:21 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
10/15/2014
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
US BLM
To
DRMS
Type & Sequence
SL16
Email Name
JLE
DIH
Media Type
D
Archive
No
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M <br />, <br />(1N1 1Yf7= S'Ye75�RL I ES1 Co 81 <br />ai <br />ld <br />0. - p <br />F*Sender.: Please print your name, address, and ZIP +4 in this box • __ <br />State of Colorado <br />Department of Natural Resources <br />Division of- Reclamation Mining & Safety <br />D,,,E__ Atreet, Suite 215 <br />OJT 3 <br />JLE /DIH <br />tt11 ff++TT ,r� 2014 C- 1981 -010 <br />SL- 16 1nsp Notification Letter <br />- r�aF ®,�f Reclamation, <br />Minh Ilvl ,ii ! it I tiilli i , ,I lilt!! , 1 Ilr Ell - - -- <br />i <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 />I <br />Jennifer Malolo <br />U S Bureau of Land Management <br />Little Snake Field Office <br />455 Emerson St, <br />Craig, CO 81625 <br />A. <br />❑ Agent <br />E3 Addressee <br />B. Receiv�by int ed Name) C. Date of Delroery <br />D. Is delivery address different from item 1? ❑ Ye,, <br />If YES, enter delivery address below: ❑ No <br />a. -;ervlw Type <br />❑ Cwflfled Mail ❑ Express Mail <br />❑ Registered i3 Retum Receipt for Merchandise <br />❑ Insured Mail O C.O.D. <br />4. Restrint wi r1n1E..n..n ic— ,- <br />• =� �MW m. <br />.-• ry a VFV IYUIIIUdr <br />(Transfer from service label) 7 010 1060 0001 0 9 3 6 0673 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595 -02- M-1540 <br />
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