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2016-12-13_REVISION - M1981207
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2016-12-13_REVISION - M1981207
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Entry Properties
Last modified
6/16/2021 2:26:01 PM
Creation date
12/22/2016 2:33:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981207
IBM Index Class Name
Revision
Doc Date
12/13/2016
Doc Name
Request For Succession Of Operator
From
Western Slope Aggregates, Inc.
To
DRmS
Type & Sequence
SO3
Email Name
ACY
GRM
Media Type
D
Archive
No
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■ Complete items 1, 2, and 3. <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 mailplece, <br />_or on the front If space permits. <br />1. Article Addressed to: <br />T -Ar-V- <br />l5 �� lvJlJlco��� <br />�� F-1J✓Rr C--:- <br />11111111111111111111111111111111111111111111 <br />--:- <br />11IY111IIIVNIIIIIIYMIIIIIN11IIIVII11 <br />9590 9403 0351 5163 3831 04 <br />2. Article Number (Transfer from service faban <br />7002 3150 0005 1751 0193 <br />A. Signature <br />X ❑ Agent <br />❑ Addressee <br />B. Received by (Prinfed Name) G. Date of Delivery <br />D. Is delivery address different from Item 17 ❑ Yes <br />If YES, enter delivery address below: p No <br />3. Service Type <br />Midi Expresse <br />O Adult Signature <br />O Registered MaJIT" <br />0AdultiSignature Restricted Delivery <br />O Registered Mail Restricted <br />Maul® <br />DelHery <br />O Certified Mall Restricted Delivery <br />O Return celpt for <br />Cl Collect on Delivery <br />❑ Collect on Delivery Restricted Delivery <br />0 Signature ConllrmatlanTM <br />13 Insured Mall <br />© Signature Confhnadon <br />l7 insured Mail Restricted Delivery <br />Restricted Delivery <br />.'over $580) <br />PS Form 3811, April2015 PSN 7530-a2-DOO-9053 Domestic Return Receipt <br />TSnRN SLOPE MATERIALS LLC <br />kONDA, COLORADO 81623 7014 0150 0000 8799 1204 <br />�{EiOA� RErmyt <br />ll'�`� REQUEsi�fl <br />so-% rz C_ %s- G .P-5 <br />[000 t -J. I-ZTO STt ` T tE 30 0 <br />` cO. <br />` ' t o " 1 110 8 <br />N Z� <br />Aaff arCml <br />,r optic <br />C t W. <br />Z <br />m • � <br />mMM � f <br />W C <br />1'•1 i n. •I r K N �S 1 ! i� � _1 r. L l , i-7 J i }, r. <br />ccT.lpN, Trs c r.jncc <br />14 OT DE L IV�RASL A5 ADDRc55wD <br />: I IN N n C i l <br />�„ e3C= 5162>1A1919 *12:9—ED5S5°—C4' <br />> is""` jl� 1,14411111, 11hIItill 114rr141r141 <br />
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