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2016-05-23_GENERAL DOCUMENTS - M2016018
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2016-05-23_GENERAL DOCUMENTS - M2016018
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Last modified
11/3/2020 10:59:30 PM
Creation date
3/8/2017 3:31:46 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2016018
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
5/23/2016
Doc Name
Certified Mail Receipt
From
Town of La Veta
To
DRMS
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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Certified Mail service provides the following benefits: I oRECEIPT <br /> ■A Certified Mail receipt this ortion o> the mallpiece;Include applicable postage to <br /> Certified Mail label). I cover the return receipt service fee;and ' Only <br /> ■A unique identifier for your mallpiece. endorse the mallpiece"Return Receipt <br /> ■Electronic venhcatl* eL've at�p� Re nested,"or see a retail associate for our website at wrimmuspis.com". <br /> delivery. J f (;,ry ( (/ assistance.For an electronic return receipt, <br /> ■A record of delivery(including the recipient's assistance.To <br /> Signature)that is re��ryryee byy��the Pp t I receive a duplicate return receipt,present Ir <br /> Services for a speclF etl eitrd. i �/�`,�r)t7 i,�1SPS®-post,,iarked Certified Mail `n Postage $ J <br /> Important Reminders: date,who will ED g ` <br /> ■ provide a duplicate return receipt for no r%_ <br /> You may purchase Certified Mail service with additional fee. Certified Fee ` <br /> First-Class Mail®,First-Class Package <br /> ® ® Restricted delivery service,which provides rl PT�Service ,or Priority Mad service, delivery to the addressee specified by name, O Return Receipt Fee ��9 <br /> ■inteCermad Mail service Is notavailable for or to the addressee's authorized agent. O (Endorsement Required) <br /> international mad. <br /> ■Insurance coverage is notavailable for Include applicable postage to cover the Restricted Delivery Fee " <br /> restricted delivery fee and endorse the (Endorsement Required) <br /> purchase with Certified Mail service.However, mailplece"Restricted Delivery,"or see a p <br /> the purchase of Certified Mail service does not retail associate for assistance. C3 <br /> change the insurance coverage automatically ■To ensure that your Certified Mail receipt is ra Total R ` <br /> included with certain Priority Mad items. accepted as legal proof of mailing,it should <br /> ■For an additional fee,you may request the bear a USPS postmark.If you would like a fU Mr. Douglas R. Brgoch <br /> following services: postmark on this Certified Mail receipt, lease Sent To <br /> p p �- Town of La Veta <br /> -Return receipt service,which provides you present your Certified Mad item at a Post ,..q .____.___ ___________________________. <br /> witharp�p� y�ydtlOf�ff�b ` r ' don'tneeda p arPo� P.O. Box 174 <br /> recipien s sign 9dl�tio receipt,detach <br /> hardcopy re�iq�eQiR� RiSt. De or�QrRpr� label,affix it to the City State <br /> 111 W. Moore ----------------------- <br /> version.For a��iiar2pi5ly r �pfy postage,and La Veta, CO 81055 <br /> complete PS Form 3811,Do i*rn i e mailplece. <br /> Receipt,attach PS Form 381 `C Save this receipt for your records. <br /> PS Form 3800,JUIy 2014(Reverse)PSN 7530-02-000-9047 <br /> COMPLETE • •MPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also'complete A. Signature <br /> item 4 if Restricted Delivery is desirpd. ©Agent <br /> ■ Print your name and address on the reverse X ❑Addresse <br /> t.so that we can return the card to you. celved by(Printed Name) C. Date of Dehve! <br /> ■ Attach this card to the back of the mailpiece, �of li <br /> or on the front if space permits. <br /> D;,Is delivery address different from item 11? ❑Yes <br /> 1. Article Addressed to: it"A S,(.nter delivew address below: ❑ No <br /> Mr. Douglas R. Brgoch <br /> Town of La Veta rt ,, <br /> P.O. Box 174 3. Service Type <br /> 111 W. Moore JdGertified Mail'- G Priorfty Mail Express- <br /> La Veta, CO 81055 ❑Registered ❑Return'Receipt for Merchandi: <br /> ❑ Insured.ME01 D Collect on Delivery <br /> 4. Restricted Deliver:'?,Extra Fes) ❑Yes <br /> 2. Article Number 7014 2120 000i 7869 6967 <br /> (Transfer from service label) <br /> PS Form 3811,July 2013 Domestic Return Receipt <br /> UNITED STATES,"Tt4 IPFRVICE First-Class Mail <br /> Postage&Fees Paid <br /> .:-.: MAY '16 USPS <br /> P tA is I Permit No.G-10 <br /> • Sender: Please print your name, address, and ZIP+4®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 Ird-D <br /> File ✓r)__xwk-ota <br /> 3-2Z''4 ;f:S lliill,iilli"ll'IiIiI111IIlIii�llr�il'll'lllirlil'llilll'I'i'lll <br />
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