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2015-12-15_GENERAL DOCUMENTS - M1977231
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2015-12-15_GENERAL DOCUMENTS - M1977231
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Last modified
8/24/2016 6:13:21 PM
Creation date
12/15/2015 12:23:30 PM
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Template:
DRMS Permit Index
Permit No
M1977231
IBM Index Class Name
General Documents
Doc Date
12/15/2015
Doc Name
Certified Mail Receipt
From
DRMS
To
DRMS
Media Type
D
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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 />Ms.Pamela Wedige Colorado <br />First Bentonite Company <br />215 Teller Street <br />Salida, CO 81201 <br />Mjg77231 <br />A. sig re e n �. 0 Agent <br />Xyhl ilC� ❑Addressee <br />Receivedby (Printed Name) C. Date of Delivery <br />'r— <br />D. Is delivery address different from item 1? 0 e <br />if YES, enter delivery address below: <br />3. Service Type <br />014 Certified Mail® 0 Priority Mail Express'" <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label} 7 14 Z 5 0000 913 $ 1244 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />QATESTOCR <br />
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