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2015-11-27_GENERAL DOCUMENTS - M2004043
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2015-11-27_GENERAL DOCUMENTS - M2004043
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Last modified
8/24/2016 6:12:56 PM
Creation date
12/30/2015 11:16:01 AM
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Template:
DRMS Permit Index
Permit No
M2004043
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/27/2015
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 />Larry and Christine Tortoricej <br />1751a- County Road 83 <br />Trinidad, CO 81082 <br />COMPLETE THIS SECTION ON DEL'VERY <br />A. Signature <br />X�; <br />c .Z <br />Ajt_ 2eo- vL-+3 <br />❑ Addre <br />Addressee <br />B.`Receiv .•ri ted Name) C. D to of D livey <br />C>irr '1 'fc,11/27%' <br />D. Is delivery (dress different from iter♦ 1? ❑❑ Y9s <br />If YES, enter delivery address belovy: alb <br />3. Sst ice Type <br />FSI Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />❑ Priority Mail : xpress' <br />❑ Return Recei , for Merchandise <br />❑ Collect on D= ivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />7014 2120 0001 7871 2032 <br />Domestic Return Receipt <br />+0 0.11-+ <br />inn eArM. <br />" ei) tik)L►?k�-'� <br />
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