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2017-06-06_REVISION - C1994082 (2)
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2017-06-06_REVISION - C1994082 (2)
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Entry Properties
Last modified
6/12/2017 9:33:55 AM
Creation date
6/12/2017 9:17:41 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
Revision
Doc Date
6/6/2017
Doc Name Note
(Inspection Notification)
Doc Name
Certified Mail Receipt
From
OSM
To
DRMS
Type & Sequence
SL6
Email Name
JDM
DIH
Media Type
D
Archive
No
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UNITED STATES PQ!!V�k§ERVICEFirst-Class <br />r : .: <br />- <br />Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP++4��i <br />State of Colorado <br />0A p6 <br />Department of Natural Resources <br />a 01111 <br />Rena{et <br />Division of Reclamation, Mining & Safetypx01 <br />vis�o & <br />1313 Sherman Street, Suite 215 <br />ntn9 <br />Denver,CO 80203 <br />C-1994-082 <br />SL -6 <br />lnsp Notification <br />jdm/ahh <br />a 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 />Hov*wd Strand <br />Offi4e`Surface Mining <br />Westerir Region <br />1999dway, Suite 3320 <br />Denver, CO 80202 <br />A. Signat <br />ent <br />X�� ❑ Addressee <br />B. Received by (Printed Name) C. Date of 9elivery <br />117 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express"' <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4, Restricted Delivery? (Extra FeO) ❑ Yes <br />2. Article Number 7 014 " 015 a 0000 913 8 5372 <br />ffransfer from service tabes <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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