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2015-01-12_REVISION - M2013018
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2015-01-12_REVISION - M2013018
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Entry Properties
Last modified
6/15/2021 6:00:24 PM
Creation date
1/13/2015 9:39:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013018
IBM Index Class Name
Revision
Doc Date
1/12/2015
Doc Name
Revisions
From
Pine Bluffs Gravel & Excavating, Inc.
To
DRMS
Type & Sequence
CN1
Email Name
PSH
Media Type
D
Archive
No
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SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sig t re tV. - <br /> :/ > <br /> item 4 if Restricted Delivery is desired. X .irili \ --gent <br /> ■ Print your name and address on the reverse \1'- / 0 Addressee <br /> so that we can return the card to you. B. Receive by Printed N rhe) C. Date of,livery <br /> ■ Attach this card to the back of the mailpiece, 7 7-- <br /> or on the front if space permits. 'J,' ' L, <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address below: —aLllp <br /> ^� UCL Gv f- , Si - <br /> � o <br /> �^ _ 3. ice Type <br /> tom :.x�oA L0 LX% d'Oa$ Certified Mail ❑Express Mail <br /> N 0 Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 9 C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (Transfer from service label) 7012 3460 0000 8332 7592 <br /> PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-154C <br /> U.S. Postal Service <br /> CERTIFIED MAIL RECEIPT <br /> Qom. (Domestic Mail Only:No Insurance Coverage Provided) <br /> For delivery information visit our website at www.usps.com;; <br /> ru DENVER CO 80228 <br /> m <br /> I I s $0.49 0860 <br /> C3 Le-. ec Fee $3,30 03 <br /> 0 Rettur,Receipt Fee =Here k <br /> 0 E rdement Rewired) $2.70 Here <br /> Restricted Delivery Fee <br /> Q =ndorse•,ent Required) i $0.00 <br /> .n <br /> = Total Postage&Fees I$ $6.49 12/01/2014 <br /> m <br /> I Sent To — ^ <br /> ED Street.�No.: ' ' <br /> N at PO Box No. 3-1(.. .. Got k <br /> r City.State,27P.,4 r/'\� T <br /> i�e�i_k (c : ''))L a <br /> PS Form 3800.August 2006 See Reverse for Instructions <br /> ■ <br />
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