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2016-09-28_REVISION - C1981014
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2016-09-28_REVISION - C1981014
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Entry Properties
Last modified
9/29/2016 9:33:29 AM
Creation date
9/29/2016 9:18:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981014
IBM Index Class Name
Revision
Doc Date
9/28/2016
Doc Name
Certified Mail Receipt
From
Fremont County Commissioner
To
DRMS
Type & Sequence
SL4
Email Name
RDZ
JRS
Media Type
D
Archive
No
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I UNITED STATES Qft' SERVICE First -Class Mail <br />��'- Postage & Fees Paid <br />2 .l;tL� USPS <br />Permit No. G- <br />PM _t <br />• Sender: Please print your name, address, and ZI n this box" <br />.1 S mQ <br />S`P <br />State of Colorado <br />Department of Natural ResourcesDN%OtA0 <br />Division of Reclamation, Mining & Safety Idt ING �tiD � <br />1313 Sherman Street, Room 215 - - <br />Denver, CO 80203 C-1981-014 <br />3--2 4 e 5 <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 />Fremont County <br />Commissioners <br />County Commissioner <br />615 Macon Avenue, Room B-5 <br />Canon City, CO 81212 <br />SL -4 <br />Proposed Decision <br />rdz/AHH <br />A. Signature <br />X I�E © Agent <br />11Addressee <br />B. Received by (Printed Name)C. Date of Delivery <br />K- :.155/6 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number <br />(Transfer from service labeo 7 014 2120 0001 7871 0588 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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