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2015-07-10_GENERAL DOCUMENTS - M1990098
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2015-07-10_GENERAL DOCUMENTS - M1990098
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Last modified
8/24/2016 6:09:04 PM
Creation date
12/24/2015 11:49:19 AM
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Template:
DRMS Permit Index
Permit No
M1990098
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
7/10/2015
Doc Name
Certified Mail Receipt
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION <br />■ 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. Stacy Churchill <br />Northern Colorado Constructors <br />9075 Weld County Road 10 <br />Fort Lupton, CO 80621 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. 747 <br />❑ Agent <br />❑ Addresse <br />C. Daeot&- <br />I <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />❑ Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express"" <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 0150 0000 9138 9080 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt Py( <br />
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