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2015-12-15_REVISION - C1981028 (2)
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2015-12-15_REVISION - C1981028 (2)
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Entry Properties
Last modified
8/24/2016 6:13:27 PM
Creation date
12/16/2015 9:38:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981028
IBM Index Class Name
Revision
Doc Date
12/15/2015
Doc Name
Certified Return Receipt (Inspection Notification)
From
Colorado State Land Board
To
DRMS
Type & Sequence
SL8
Email Name
TNL
DIH
Media Type
D
Archive
No
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First-C <br /> ss <br /> UNITED STATE9iRjg ,5 RVICE Postage la&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, addre .s, and ZIP+4®in this box• <br /> RECEIVEb <br /> I <br /> State of Colorado <br /> Department of Natural Resources DEC 1 215 <br /> Division of Reclamation,Mining,& SHMY; ,,of Reclamation, <br /> 1313 Sherman Street, Suite 215_,__---,vmling -$afety <br /> Denver,CO 80203 <br /> C-1981-028 ! <br /> SL_ <br /> -8 <br /> Inspection Notification <br /> COMPLETE <br /> ■ Complete items 1,2,and 3.Also complete A. Sign re <br /> item 4 if Restricted Delivery is desired. � ❑Agent <br /> ■ Print your name and address on the reverse X L`�9 r El Addressee <br /> A <br /> so that we can return the card to you. B. Received by(Printed Name) C. a A livery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes <br /> If YES,enter delivery address beldw: ❑No <br /> Pete Milonas <br /> Colorado State Land Board <br /> 1127 Sherman Street <br /> Suite 300 3. Service Type <br /> Denver, CO 80203 0 Certified Mail® 0 Priority Mai Express- <br /> 0 Registered 0 Return R ipt for Merchandise <br /> 0 Insured Mail 0 collect on elivery <br /> 4. Restricted Delivery?(Extra Fee) 0 Yes <br /> 2. Article Number <br /> (rransfer from service label) 7 014 0150 0000 913 8 5013 <br /> . <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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