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2016-02-22_REVISION - C1981014 (6)
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2016-02-22_REVISION - C1981014 (6)
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Entry Properties
Last modified
8/24/2016 6:19:24 PM
Creation date
2/24/2016 10:01:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
Revision
Doc Date
2/22/2016
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
James Chiapputi
To
DRMS
Type & Sequence
SL4
Email Name
RDZ
JRS
Media Type
D
Archive
No
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UNITED STATES TAL-,%RVICE <br />First -Class Mail <br />Postage & Fees Paid <br />'16 <br />' <br />USPS <br />Permit No. G-10 <br />PMSG <br />• Sender: Please print your name, addrellEG <br />irMVS box - <br />State of Colorado FEB Z < <U 16 <br />Department of Natural Resources N OF RECLAMATION <br />Division of Reclamation, Mining & ftjNG AND SAFETY <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />Spec LU oi4 <br />File RUZ <br />C-1981-014 <br />SL -4 <br />Notification Letter <br />Inspection <br />RDZ <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 />James J. Chiapputi I <br />4336 Adelphi Avenue <br />Las Vegas, NV 89120-2101 <br />Illll�l�ll�ll�ll�nlllllllll�lnl��llln�ll�� <br />A. Si lure <br />� <br />X Agent ' Lt w ❑ Addre <br />B Re eived by (Print ame) C. Date of Del <br />Tia --r I,-, cl-A n N1- -U 4 1.2 -16 -, <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />15Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7 014 212 0 0001 7 8 6 9 716 2 <br />PS Form' <br />{Transfer from. service lab, <br />811, July 2013 Domestic Return Receipt <br />
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