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2016-04-05_REVISION - C1981008 (3)
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2016-04-05_REVISION - C1981008 (3)
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Entry Properties
Last modified
8/24/2016 6:20:34 PM
Creation date
4/6/2016 8:44:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
4/5/2016
Doc Name
Certified Return Receipt (Inspection Notification)
From
OSM
To
DRMS
Type & Sequence
SL18
Email Name
BFB
DIH
Media Type
D
Archive
No
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C-1981-008 <br />Inspection Notification <br />SL -18 <br />bfb/ahh <br />ru <br />..mestic ir <br />X <br />D- <br />For delivery information, visit our website at wwwwsps.come. <br />❑ Addressee <br />►'i <br />C. Date of Delivery <br />r`- <br />cc <br />Postage: <br />$0.485 <br />r%- <br />Certified Fee: <br />$3.45 <br />r-1 <br />O <br />Return Receipt Fee: <br />f <br />$2.80 <br />O <br />(Enda <br />a <br />Rest Total Postage & Fees;,,_ _ <br />(Endorbu,m ,, —q.—., <br />_ $6.735 <br />O <br />rU <br />r1 <br />ru <br />Alan Boehms <br />.=- <br />S, Office of Surface Mining <br />N <br />o� Western Regional Coordinating <br />Center ._._- <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <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 />RECEIVE® <br />OF RECLAMATION <br />Not. go AND SAFETY <br />Signat <br />X <br />Agent <br />,� <br />❑ Addressee <br />B. Received by (Printed Name) <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Alan Boehms <br />Office of Surface Mining <br />Western Regional Coordinating Center <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202 <br />Service Type <br />:1 Certified Mail® ❑ Priority Mail Express' <br />:1 Registered ❑ Return Receipt for Merchandise <br />L7 Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />( 7 014 2120 0001 7871 0724 <br />Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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