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2015-12-24_GENERAL DOCUMENTS - M1992051
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2015-12-24_GENERAL DOCUMENTS - M1992051
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Last modified
8/24/2016 6:13:48 PM
Creation date
12/30/2015 11:15:54 AM
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DRMS Permit Index
Permit No
M1992051
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/24/2015
Doc Name
Certified Mail Receipt
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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 />Mr. Mike Langston <br />Langston Concrete, Inc. <br />902 South Union Street <br />Florence, CO 81226 <br />2. Article Number <br />(Transfer from service label <br />PS Form 3811, July 2013 <br />Mict7O5 I <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signatu <br />X <br />B. Received by ted Name) C. 'gate of D livery <br />D. Is delivery address differentUe <br />If YES, enter delivery address below: <br />3. Service Type <br />Ig Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail Express" <br />❑ Return Receipt for Merchandise <br />❑ Collect on DeliViery <br />4. Restricted Delivery? (Extra Fee) <br />7014 2120 0001 7871 0861 <br />❑ Yes <br />Domestic Return Receipt <br />
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