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2016-12-29_GENERAL DOCUMENTS - M1987092
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2016-12-29_GENERAL DOCUMENTS - M1987092
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Last modified
12/12/2020 11:09:11 PM
Creation date
2/7/2017 11:45:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987092
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/29/2016
Doc Name
Certified Mail Receipt
From
DRMS
To
Blue Mountain Stone
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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SECTIONSENDER-COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. X ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. � S �f'Gsc t'ez— <br /> D. Is delivery address different from Rem 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> Mr. Rowel Vasquez <br /> Blue Mountain Stone <br /> P 0 Box 946 3. Service Type <br /> L ons CO 80540 ❑Certified Mail® ❑Priority Mail Express- <br /> y ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured Mail ❑ Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 2120 0001 7885 6552 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES POSTAL SERVICE First-Class Mail <br /> Postage&Fees Paid <br /> LISPS <br /> Permit No.G-10 <br /> Sender: Please print your name, address, and ZIP+411 in this box* <br /> State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 Spec <br /> File <br />
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