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2015-08-31_GENERAL DOCUMENTS - M2015024
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2015-08-31_GENERAL DOCUMENTS - M2015024
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Last modified
8/24/2016 6:10:16 PM
Creation date
12/30/2015 4:16:16 PM
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DRMS Permit Index
Permit No
M2015024
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
8/31/2015
Doc Name
Certified Mail Receipt
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DRMS
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DRMS
Media Type
D
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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. Todd Haynes <br />Haynes Excavation, Inc. <br />12696 6450 Rd <br />Montrose, CO 81401 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X <br />B. Received by (Printed Name) <br />AUI3) <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 />DirCertified 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 1794 <br />• PS Form 3811, July 2013 <br />ri <br />CO <br />m <br />Postage <br />Domestic Return Receipt <br />U.S. Postal Service,. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />For delivery information visit our website at www.uspa.coma <br />IT <br />Certified Fee <br />D <br />D Return Receipt Fee <br />D (Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Ur) <br />r1 <br />D <br />ra <br />D <br />Total Postage & Fees <br />IDRIS <br />MEM <br />maw <br />s <br />J <br />Sent To <br />S4reet Apt. No.; <br />or PO Box No. <br />City, State, ZIP+ <br />PS Form 3800. <br />Mr. Todd Haynes <br />Haynes Excavation, Inc. <br />12696 6450 Rd <br />Montrose, CO 81401 <br />r Instructions <br />
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