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2015-10-13_REVISION - C1981014
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2015-10-13_REVISION - C1981014
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Entry Properties
Last modified
8/24/2016 6:11:31 PM
Creation date
10/13/2015 2:07:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
Revision
Doc Date
10/13/2015
Doc Name
Application for Bond Release
From
Energy Fuels Coal, Inc
To
DRMS
Type & Sequence
SL3
Email Name
RDZ
JRS
Media Type
D
Archive
No
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Complete items 1, 2, and 3. <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 maiipjm <br />or on the front If space permits. <br />Article Addressed to: <br />Manfred Bereuter <br />POBox 61 <br />Coal Creek, CO 81221-0061 <br />111111111111{ Illll IIII IIIII IIII IIIIIINIIII III <br />9590 9403 0168 5120 0828 99 <br />Article Number (Transfer from service kW <br />'715 1520 0000 5165 0329 <br />3 Form 3811, April 2015 PSN 7530-02-000-9053 <br />Complete items 1, 2, and 3. <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 />Article Addressed to: <br />111 111111 IIII 1111111111111111111111111111111111 <br />9590 9403 0177 5120 3450 08 <br />Article Number (7fansfer from service lade) <br />lois/Say OWOSl�s <br />i Form 3811, April 2015 PSN 7530-02-000-9053 <br />x///.,0l%v In <br />by {F3fntsd Name) I C. Dip oflivery <br />1 9 11917 Is <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: LkNO <br />3. Service lype <br />❑ priority Mall E.xpresae <br />❑ A" Signature <br />❑ Registered Mau- <br />❑ A" Signahae Restricted Delivery <br />❑ Reglateryed Mau Restridel <br />❑ Certified Meil® <br />Deliver <br />❑ Certified Mall Reddoted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restrided Delivery <br />❑ Signature Confirmation- <br />red Mail <br />❑ Signature ture Co�TM <br />Restricted <br />Wired Mau Restricted Delivery <br />Delivery <br />Domestic Return Receipt <br />■ Completeitems"(, =address <br />3. <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 maiipiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />■ <br />ecelved' by (Pr(tW N ) C. Date Del <br />�A/lits'-- aZ " 9-1 -, <br />D. Is delivery address dtffererrt from Item 1? A Yes <br />If YES, enter delivery address below. ❑ No <br />Yvonne Jenkins v <br />755 N Broadway St <br />Penrose, CO 81240-9003 <br />M <br />A. Signature .t■,C Qu mPI m ete items 1, 2, and 3. A. Signature <br />13 AgentX t <br />13 Addressee 4'dnt your ilameWnd address on the reverse X ❑Agent <br />B. Receiv (Printed Noma) C. Date of Delivery,� #iat,�(! erCarl fetum the Card to you. ❑ Addre <br />h' the back of the rrtaiipieoe, B. Received by (Printed C. Date of <br />n.thd, an permits. <br />Ci/ s <br />D. Is delivery address different from Item 1? ❑Yes cls a D. is delivery mom1? es <br />If YES, enter delivery address below: ❑ No I If YES, ant _ ery ❑ No <br />3. Service Type <br />❑ Priority Mail Expreas® <br />0 Adult <br />SignatuMI0 <br />❑ Registered Mall- <br />Adult ® Restricted Delivery <br />❑ Re��atered Maul Reatricte <br />❑ Certified <br />Do <br />❑ Certified Mau Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restricted Delivery <br />❑ Signature Confirmation- <br />❑ marred Mau <br />3 ServiceType❑ <br />Mall <br />1111111111111111111111 <br />IIIII <br />I{III{II1111111 <br />IIII <br />❑ Adult Slpnahue <br />RPriority <br />❑Registered Mail*'" <br />egistered <br />❑ Adult Signature Restricted Delivery <br />❑ Raglstered Mail Restrict <br />9590 9403 0168 5120 0841 07 <br />0 Certlfiecl Mail Restricted Delivery <br />❑ Retum Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />2. Article Number (hansler from service laW <br />❑ Collect on Delivery Restricted Delivery <br />+ ❑Insured Mall <br />❑ Signature Confhmatlon' <br />❑ Signature Confirmation <br />7 015 1520 0000 516 5 0442 <br />❑ Ireur d Mail Reetrided Delivery <br />Restricted Delivery <br />Ps Form 3811, April 2015 PSN 7530-02-000-9053 <br />Domestic Return Receip <br />A. Signature .t■,C Qu mPI m ete items 1, 2, and 3. A. Signature <br />13 AgentX t <br />13 Addressee 4'dnt your ilameWnd address on the reverse X ❑Agent <br />B. Receiv (Printed Noma) C. Date of Delivery,� #iat,�(! erCarl fetum the Card to you. ❑ Addre <br />h' the back of the rrtaiipieoe, B. Received by (Printed C. Date of <br />n.thd, an permits. <br />Ci/ s <br />D. Is delivery address different from Item 1? ❑Yes cls a D. is delivery mom1? es <br />If YES, enter delivery address below: ❑ No I If YES, ant _ ery ❑ No <br />3. Service Type <br />❑ Priority Mail Expreas® <br />0 Adult <br />SignatuMI0 <br />❑ Registered Mall- <br />Adult ® Restricted Delivery <br />❑ Re��atered Maul Reatricte <br />❑ Certified <br />Do <br />❑ Certified Mau Restricted Delivery <br />❑ Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restricted Delivery <br />❑ Signature Confirmation- <br />❑ marred Mau <br />❑ Signature Confimration <br />ClInsured Mau Restricted Delivery <br />Restricted Delivery <br />Domestic Return Receipt i <br />fLas Cruces Ltd <br />2004 Berkley Drive <br />Wichita Falls, TX 76308-1309 <br />. IIIIIIINIIIiIIIIIIIII IIIII1111111i111111IIIII <br />9590 9403 0168 5120 0841 14 <br />7015 1529-000-0 5165 0459 <br />l PS Form1811, Aprll 2015 PSN 7530-02-00"= <br />3. Service TAM <br />❑ Priority Mau Ex"" <br />❑ Adult Signature <br />❑ Registered Mall- <br />❑ Adult Signature Restricted Delivery <br />❑ Regletered Mail Restrla <br />❑ Certified Mail® <br />t)eUvary <br />❑ Certified Mau Restricted Delivery <br />Q d for <br />❑ on Delivery <br />Collet <br />❑ Collect on Delivery Restricted Delivery <br />13 Slgnahae Conflrr sdw' <br />❑ Insured Mau <br />❑ Signature Conflrrnation <br />❑ InsuredMy 11 Restricted Delivery <br />Restricted Delivery <br />Domestic Return Rerelp <br />
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