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2015-12-29_GENERAL DOCUMENTS - M1978249
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2015-12-29_GENERAL DOCUMENTS - M1978249
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Last modified
8/24/2016 6:13:52 PM
Creation date
12/29/2015 11:33:31 AM
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Template:
DRMS Permit Index
Permit No
M1978249
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/29/2015
Doc Name
Certified Mail Receipt
From
DRMS
To
DRMS
Media Type
D
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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 />Rob Quint <br />Logan County <br />315 Main St., Ste. 2 <br />Sterling, CO 80751 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />'rrli�lrt� <br />M1'1722 <br />M v2i,/s ozz <br />B. Received by (Printed Name) <br />,.�:. C (kJ <br />Agent <br />Addressee <br />C. Date of Delivery <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 Mall Express" <br />❑ Return Receipt for Merchandise <br />❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />Yes <br />2. Article Number <br />7014 0150 0000 9138 4108 <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />
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