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2015-12-15_GENERAL DOCUMENTS - P2014008
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2015-12-15_GENERAL DOCUMENTS - P2014008
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Last modified
8/24/2016 6:13:27 PM
Creation date
12/15/2015 12:22:49 PM
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Template:
DRMS Permit Index
Permit No
P2014008
IBM Index Class Name
General Documents
Doc Date
12/15/2015
Doc Name
Certified Mail Receipt
From
DRMS
To
DRMS
Media Type
D
Archive
No
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■ 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 />Mr. Thomas J. Wiens <br />New West Reclamation, LLC <br />5567 S. Perry Park Rd. <br />Sedaa, CO 80135 <br />a <br />F2cO141cO05' <br />19 2nlYoo 9 <br />E3 Agent <br />B. Received by (Printed Name)I C. DaW of Delivery,„ <br />/- ! % <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />5d 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 <br />(Transfer from service label)7 014 0150 0000 913 8 2234 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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