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2016-08-22_REVISION - C1992080
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2016-08-22_REVISION - C1992080
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Entry Properties
Last modified
8/24/2016 6:26:12 PM
Creation date
8/24/2016 8:58:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1992080
IBM Index Class Name
Revision
Doc Date
8/22/2016
Doc Name
Certified Mail Receipt
From
Marc and Jane Katz
To
DRMS
Type & Sequence
SL5
Email Name
RDZ
JRS
Media Type
D
Archive
No
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„r, L��” " " First-Class Mail <br /> UNITED STATES�t'bvik s"`�t�V'IC5" Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIPIW& X'c <br /> State of Colorado AUG L C <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety N OF F� <br /> 1313 Sherman Street, Suite 215 Mil Mp S 10N <br /> Denver,CO 80203 <br /> ETY <br /> C_1992-�80 <br /> SL-5 Notification <br /> Inspection <br /> fah <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete <br /> item 4 if Restricted Delivery is desired. <br /> IN Print your name and address on the reverse gent <br /> so that we can return the card to you. O Addressee <br /> ■ Attach this card to the back of the mailpiece, B eceived by( ted Ne) �Yes <br /> or on the front if space permits. 671 <br /> 1, Article Addressed to: D. Is delivery add r differerrt from item 1 <br /> If YES,enter delive 4S8 below: 0 No <br /> Marc and Jane Katz _l;' <br /> 01 <br /> 305v.1 East 5 th Avenue -( <br /> D ango, CO 81301 -4309 rvic <br /> Certified Mhip 0 Priority Mail Express- <br /> U Registered 0 Return Receipt for Merchandise <br /> 0 Insured Mail 0 Collect on Delivery <br /> 2. Article Number 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> (Transfer from service fabeq 7 014 2120 0001 7871 0267 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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