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2015-12-15_GENERAL DOCUMENTS - M2013022
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2015-12-15_GENERAL DOCUMENTS - M2013022
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Last modified
8/24/2016 6:13:25 PM
Creation date
12/15/2015 12:24:52 PM
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DRMS Permit Index
Permit No
M2013022
IBM Index Class Name
General Documents
Doc Date
12/15/2015
Doc Name
Certified Mail Receipt
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DRMS
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DRMS
Media Type
D
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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 />Justin Bilyeu <br />Shale Tech International Services LLC <br />1354 County Road 246 <br />Rifle, CO 81650 <br />2. Article Number <br />(transfer from service label) <br />PS Form 3811, July 2013 <br />M 20t 3OZz <br />M �) 2D 16-01 <br />A. Signature <br />❑ Agent <br />X ddressee <br />B. ceived by (Printed arae) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ 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 />7014 0150 0000 9138 4078 <br />Domestic Return Receipt <br />
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