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2015-07-23_REVISION - C1981019 (4)
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2015-07-23_REVISION - C1981019 (4)
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Entry Properties
Last modified
8/24/2016 6:09:20 PM
Creation date
7/30/2015 8:38:01 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
Revision
Doc Date
7/23/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
Philip Courtney Board of Land Commissioners
To
DRMS
Type & Sequence
SL8
Email Name
RDZ
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY 4 <br /> ■ Complete items 1,2,and 3.Also complete A. Si nature <br /> ent <br /> item 4 if Restricted Delivery is desired. X .0 AAddressee <br /> ■ Print your name and address on the reverse Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> \ <br /> ■ Attach this card to the back of the mailpiece, '�z i o-'e&. i:Vu— <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? LJ Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> AW� - - <br /> -Phillip Courtney <br /> Board of Land <br /> Commissioners Suite 300 3. Service Type <br /> 1127 Sherman St. ❑Certified Mail® ❑Priority Mali Express- <br /> Denver, CO 80203 ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number 7012 3460 0000 6384 7812 <br /> (Transfer from service lab-,--- <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STAT f�VICE 'VE . First-Class Mail , <br /> Postage&Fees Paid <br /> usp <br /> 32015 Permit No.G-10 <br /> • Send ease print your name, adgmWR this box* <br /> STATE OF COLORADO <br /> DEPARTMENT OF NATURAL RESOURCES <br /> DIVISION OF RECLAMATION,MINING&SAFETY <br /> 1313 SHERMAN STREET,SUITE 215 <br /> DENVER,CO 80203-2243 - - <br /> 1981-019 <br /> SL-8 <br /> Inspection Notif , <br />
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