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2016-10-26_REVISION - C1996083 (2)
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2016-10-26_REVISION - C1996083 (2)
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Entry Properties
Last modified
11/1/2016 9:43:20 AM
Creation date
10/31/2016 10:35:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
Revision
Doc Date
10/26/2016
Doc Name
Certified Mail Receipt
From
BLM
To
DRMS
Type & Sequence
SL2
Email Name
JDM
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE First -Class Mail <br />Postage & Fees Paid <br />USPS <br />tt���� Permit No. G-10 <br />• Sender: Please print your name, address, and Zlf�1)• <br />'Ir"T -, n <br />` <br />State of Colorado " 1 4 o LUIb <br />Department of Natural Resources DM&ON OF f <br />Division of Reclamation, Mining & SafetyMINING AND $ E. <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 C 1990 -ARA <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 />es y Dyer _W1__ <br />U.S. Bureau of Land Managemer*�. <br />Uncompahgre Field Office <br />2505 S. Townsend Ave. <br />Montrose, CO 81401 <br />2. Article Number <br />(Transfer from service /abed <br />PS Form 3811, July 2013 <br />SL -2 <br />Inspection Notification <br />jdm/dih <br />jiljiii=:==i;=1ljliiljliil <br />A. Signature <br />XXW ����L. © Agent <br />❑ Addressee <br />:EB3.Received by (Printed NameC. Date of Delivery <br />--- �o/Zq (o <br />D. Is delivery address different from item 1? C] Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />❑ Certified Mail® <br />❑ Registered <br />❑ Insured Mail <br />4. Restricted Delivery r (rxrra f ee) <br />❑ Priority Mail Express - <br />E3 Return Receipt for Merchandise <br />❑ Collect on Delivery <br />7014 0150 0000 9138 5037 <br />Domestic Return Receipt <br />❑ Yes <br />
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