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_GENERAL DOCUMENTS - M1994092 (3)
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_GENERAL DOCUMENTS - M1994092 (3)
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Last modified
11/4/2020 5:14:37 AM
Creation date
12/24/2015 11:47:27 AM
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Template:
DRMS Permit Index
Permit No
M1994092
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Certified Mail Receipt
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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SENDER: <br /> COMPLETETHIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sign ure <br /> item 4 if Restricted Delivery is desired. Agent <br /> ■ Print your name and address on the reverse X Y cam' ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C ate of Delivery <br /> ■ Attach this card to the back of the mailpiece, / <br /> or on the front if space permits. �✓I �� ✓, �` �" J <br /> 1. Article Addressed to: D. Is delivery address different from item 1? []Yes <br /> — - If YES,enter delivery address below: .;M No <br /> Shane Cooper <br /> Shane Cooper dba Dirt Guys LLC <br /> 949 Shannon Rd. 3. Service Type <br /> Cotopaxi, CO 81223 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 9138 2104 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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