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2015-12-15_GENERAL DOCUMENTS - P2014014
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2015-12-15_GENERAL DOCUMENTS - P2014014
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Last modified
8/24/2016 6:13:27 PM
Creation date
12/15/2015 12:22:53 PM
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Template:
DRMS Permit Index
Permit No
P2014014
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. Timothy R. Buchanan <br />Simple Oil LLC <br />7703 Ralston Road <br />Arvada, CO 80002 <br />fzo/(-/ a4 <br />A. Sigraai��q��� <br />jII ❑Agent <br />X <br />❑ Addressee <br />B.Rived by (Print Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter deli v ess lo� ❑ No <br />h <br />Q � � <br />° eek; <br />3. �S(ervice Type <br />tiCertified 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`014 015 0 0000 91,38 0 9 71 <br />Ps Form 3811, July 2013 Domestic Return Receipt <br />
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