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2015-09-24_REVISION - C1981008 (2)
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2015-09-24_REVISION - C1981008 (2)
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Entry Properties
Last modified
8/24/2016 6:10:57 PM
Creation date
9/25/2015 9:30:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
9/24/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
Vince Dyer
To
DRMS
Type & Sequence
SL17
Email Name
BFB
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE <br />III First -Class Mail <br />Postage &Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4® inti-Oox• <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 oE�e 52 <br />Denver, CO 80203 <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 />Vince Dyer - <br />Public Works Supervisor <br />320 Main St . <br />Nucla, CO 8024 <br />A. <br />X <br />C1981-668�� <br />SL -17 <br />bff/a h h <br />Inspec Notification <br />11 Agent <br />❑ Addressee <br />13. Received by (Printed Name) C. Date of Delivery <br />Apra 1 g� tL <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. -jervice Type <br />❑ Certified Mails ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. RPctrirttari r).r.— .o <br />2. Article Number <br />(Transfer from service labeq 7 014 0150 0000 913 8 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />- u res <br />6553 <br />
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