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2014-12-22_GENERAL DOCUMENTS - M1983141
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2014-12-22_GENERAL DOCUMENTS - M1983141
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Last modified
8/24/2016 5:56:07 PM
Creation date
3/2/2015 10:18:18 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983141
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/22/2014
Doc Name
Certified Mail Receipt 30 Day Notice
From
DRMS
To
Mark A. Steen, Gold Hill Mines, Inc.
Email Name
MAC
AJW
TAK
Media Type
D
Archive
No
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g3 <br />• Complete items 1, 2t,and 3. Also complete A. <br />item 4 if Restricted Delivery is desired. X <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 />Mark A. Steen <br />Gold Hill Mines, Inc. <br />957�Reynoids Farm Lane <br />1-4A_9.mont, Co 80503 <br />Cs"'"y` 4,' Addre <br />Addressee <br />ce ed by rinted Name) I C. Date of Delivery <br />. Sste -e�,.- - d 1 1 I a <br />1§ delivery address different from item 1? " Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified WHO ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 0150 0000 91, 3 8 3194 <br />(transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />a- (Domestic Mail Only, No Insurance Coverage Provided) <br />r-1 <br />M <br />r� Postage: `� '< $0.69 <br />Cr v <br />ce Certified Fee: /� ,��� $3.30 <br />0 <br />0 RetumR Return Receipt Fed. O�C2Z 1$2.70 <br />O (Endorsement <br />° $6.69 <br />Restricted De Total Postage & FeAA <br />O (Endorsement _ $A ?11 <br />Total Postage 8 Fees L__ <br />ED <br />-,- <br />Sent To <br />Mark A. Steen <br />ra <br />Q <br />--- <br />Street, Apt. No.; <br />Gold Hill Mines, Inc. ......................., <br />r <br />or PO Box No. <br />957 Reynolds Farm Lane <br />..................... <br />Longmont, Co 80503 ........_..__._........., <br />Cil)4 State. ZIP +4 <br />_ PS Form 3800, August ZUUb zee neverse wr insuucumu <br />
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