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2015-09-22_REVISION - C1981008
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2015-09-22_REVISION - C1981008
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Entry Properties
Last modified
8/24/2016 6:10:54 PM
Creation date
9/23/2015 8:40:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
9/22/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
OSM
To
DRMS
Type & Sequence
SL17
Email Name
BFB
DIH
Media Type
D
Archive
No
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First-Class Mail <br /> t <br /> UNITED STATES POSTAL$F-R-VICE Post <br /> og e&Fees Paid <br /> USP <br /> I <br /> Per!No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4@ in this box* <br /> RECEIVED <br /> State of Colorado SEP 2 ' 2015 <br /> Department of Natural Resources <br /> Division of Reclamation,Mining& SafetYJivision of Reclamatio <br /> 1313 Sherman Street, Suite 215 M1111liq&Safety <br /> and ZIJP+4@ in this box" <br /> C EVE D <br /> S EP 2 0 1 5 <br /> t <br /> 10 <br /> S 2alma <br /> '1 0 of cl <br /> a 7e n Re <br /> Denver,CO 80203 c198j.008 <br /> S07 in Notificationinsped'O <br /> bibla" <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3.Also complete A., Signatu <br /> item 4 if Restricted Delivery is desired. X 0 Agent <br /> • Print your name and address on the reverse 13 Addressee <br /> so that we can return the card to you. B. FleceiveT-byi(Printed Name) C. Date of Delivery <br /> • Attach this card to the back of the mailpiece, ;r <br /> or on the front if space permits, <br /> I- Article Addressed to: D. :;;ydE,1ivery address different from item 1? E]Yes <br /> ,en <br /> If YES,enter delivery address below: El No <br /> Alan Boehms <br /> Office of Surface Mining <br /> Western Regional Coordinating Center <br /> 1999 Broadway, Suite 3320 ervice Type <br /> Denver, CO 80202 1 Certified Mail® 0 Priority Mail Express'" <br /> -1 Registered 13 Return Receipt for Merchandise <br /> 11 Insured Mail 11 Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) 11 Yes <br /> 2. Article Number <br /> (Transfer from service labeo ?014 0150 0000 9138 9554 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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