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2016-04-05_REVISION - C1981008 (5)
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2016-04-05_REVISION - C1981008 (5)
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Entry Properties
Last modified
8/24/2016 6:20:34 PM
Creation date
4/6/2016 8:44:54 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
Western Fuels Colorado, LLC
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 />N Domestic Mail Only <br />C3 <br />Er <br />-n $0.485 <br />Postage: <br />$3.45 <br />Certified Fee: <br />$2.80 <br />C3 Rett Return Receipt Fee: <br />C3 (Endorsee <br />C3 Restricts <br />(Endorser 6.735 <br />C3 Total Postage &Fees: _ $ <br />ru <br />r-qTotal Postage & Fees I �, <br />SenrTi Western Fuels -Colorado, LLC <br />r_1 ..__ New Horizon Kline <br />Street, <br />orP01 P.O. Box 628 ------ <br />r <br />c`" S`I MR Nucla, CO 81424-0628 <br />■ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />a Lf <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 />Article Addressed to: <br />Western Fuels -Colorado, LLC <br />New Horizon Mine <br />P.O. Box 628 <br />Nucla, CO 81424-0628 ] Certified Mail® 13 Priority Mail Express'" <br />R <br />ApR � � Zp16 <br />DXV1S�ON N0 SAFE <br />illo"D A <br />X' 13 Agent <br />n <br />1c.((,tf ❑Addressee <br />B. Re eived by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑Yes <br />If YES, enter delivery address below: 11 No <br />service Type <br />_] Registered 11 Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 11 Yes <br />2. Article Number <br />(Transfer fro <br />m service 714 2120 001 7869 6097 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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