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2016-10-26_REVISION - C1996083
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2016-10-26_REVISION - C1996083
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Entry Properties
Last modified
11/1/2016 9:43:20 AM
Creation date
10/31/2016 10:35:45 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
John Morrell
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 />Permit No. G-10 <br />• Sender. Please print your name, address, and ZlfaB• <br />t)rr I In <br />State of Colorado "6' r o LUIb <br />Department of Natural Resources DM&ON OF RLC <br />Division of Reclamation, Mining & SafetyMINING ANDS$ Ery <br />1313 Sherman Street, Room 215 <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 />John Morrell <br />Denver, Co 80203 C-1996-083 <br />SL -2 <br />Inspection Notification <br />jdm/dih <br />:iilii;i;lj;l„lii;ii;lillii'iii`iijH11'illlill;.;.iliiiiiiililiil <br />auuea <br />❑ Agent <br />❑ Addre <br />Received by (Printed Name) C. Date of Delivery <br />Is delivery address different from item 1? El -ye, <br />If "ES, enter delivery address below: ❑ No <br />15873 Stevens Gulch Road <br />Paonia, CO 81428 vice Type <br />u Certified Mail® ❑ Priority Mail Express - <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7 014 2120 0001 7871 0489 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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