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2016-10-07_REVISION - C1981019 (2)
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2016-10-07_REVISION - C1981019 (2)
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Entry Properties
Last modified
10/17/2016 7:41:43 AM
Creation date
10/17/2016 7:23:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981019
IBM Index Class Name
Revision
Doc Date
10/7/2016
Doc Name
Certified Mail Receipt
From
Moffat County Commissioners
To
DRMS
Type & Sequence
SL9
Email Name
ZTT
JRS
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, al r -Un' is1D* <br />State of Colorado <br />uCi 0-12616 <br />Department of Natural Resources ISION OF R,7�! p'{gnpN <br />Division of Reclamation, Mining & Sa etVIN1NG wti:,- ETY <br />1313 Sherman Street, Room 215 v <br />Denver, CO 80203 <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 />Moffat County <br />Commissioners ' <br />!221 W. Victory Why <br />Craig, CO 81625 <br />'tit; W111ti'lit'i"i3tt' <br />C-1981-019 <br />SL -9 <br />zttlahh <br />1r14A. 0o ioi�? ;Ltr <br />A S�lyature <br />^� <br />?rt 1 Agent <br />23 Address( <br />B.—Received by(Prin( d Name)Tci Mate 0`31' D livei <br />t 6 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: 0 No <br />0. service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />E3 Registered ❑ Return Receipt for Merchandise <br />0 Insured Mail ❑ Collect on Delivery <br />r, -- rvumoer <br />(transfer from service label) 7 014 2120 0001 7871 0533 <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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