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2015-09-29_REVISION - C1981008
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2015-09-29_REVISION - C1981008
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Entry Properties
Last modified
8/24/2016 6:11:03 PM
Creation date
10/6/2015 9:32:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
9/29/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
SLash M LLC
To
DRMS
Type & Sequence
SL17
Email Name
BFB
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP4F*M)X;D <br />St►' Z 9 2015 <br />State of Colorado <br />Department of Natural Resources ; of Redamati n, <br />Division of Reclamation, Mining & Safety : g & Safety <br />1313 Sherman Street, Suite 215 <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 />Slash M LLC <br />P.O. Box 4 <br />Nucla, CO 81424 <br />C 1981-008 <br />SL -17 <br />Inspection Notification <br />111111111+1111111111111111111#'=;�' <br />A. Signature <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />&Y-; m( X i n,1,0 ti 9- a .�,_ )c" <br />D. Is delivery address different f om item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ 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 01-'0 0000 913 8 9547 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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