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2015-11-12_GENERAL DOCUMENTS - P2012011
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2015-11-12_GENERAL DOCUMENTS - P2012011
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Last modified
8/24/2016 6:12:28 PM
Creation date
12/30/2015 4:15:17 PM
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Template:
DRMS Permit Index
Permit No
P2012011
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
11/12/2015
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 />Mr Shannon Murphy <br />Smuggler Gold Mine, LLC <br />100 West Bennett Ave. - P.O Box 661 <br />Cnpple Creek, CO 80813 <br />1920120 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />"Agent <br />0 Addressee <br />Pleceived by (Print a e) C. ate Deh <br />�-�16Ot� r, a7N (ill /L) <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 />0 Certified Mall <br />❑ Registered <br />❑ Insured Mail <br />❑ Express Mail <br />0 Return Receipt for Merchandise <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7011 3500 0002 9607 7596 <br />PS Form 3811 February 2004, ;• Domestic Return Receipt 102595-02-M-1540 <br />
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