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2015-09-20_REVISION - C1981008
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2015-09-20_REVISION - C1981008
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Entry Properties
Last modified
8/24/2016 6:10:51 PM
Creation date
10/6/2015 9:32:17 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
9/20/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
DRMS
To
Melvin & LeaAnn Staats
Type & Sequence
SL17
Email Name
BFB
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />��tt�6rr=i <br />• Sender: Please print your name, address, and ZI� 4in this box* <br />�CQ9'2015 <br />IL-1 ` a <br />State of Colorado <br />Department of Natural Resources ° Raclt'on, <br />,- <br />Division of Reclamation, Mining & Safety.i:niny , Safety <br />_ - <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 <br />C1981-008 <br />S07 Notification <br />Inspection <br />■ Complete items 1, 2, and 3. <br />Also item 4 if Restricted Delivery is desired plete <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 />Staats, Melvin and <br />LeAAnn <br />P.Box 10 <br />Nucla, CO 81424 <br />2. ici0yumber <br />(Trarih iri%h'serv/ce label <br />PS Form 3811, July 2013 <br />-• 'cuvery address below: <br />13. Service Type <br />Cl Certified Mail® ❑ priori <br />ty 13Registered Mail Express. <br />❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />7014 D150 DD00 9138 9561 Yes <br />Domestic ReturnReceipt <br />
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