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2017-08-22_REVISION - C1981010 (12)
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2017-08-22_REVISION - C1981010 (12)
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Entry Properties
Last modified
8/25/2017 6:49:18 AM
Creation date
8/23/2017 9:47:48 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
8/22/2017
Doc Name Note
(Inspection Notification)
Doc Name
Certified Mail Receipt
From
Colorado State Board of Land Commissioners
To
DRMS
Type & Sequence
SL18
Email Name
RAR
DIH
Media Type
D
Archive
No
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� I <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402Z, 43 6336 1356 08 <br /> United Stat •Sender:Please print your name,address,and ZIP+4� s box• <br /> Postal Servt ;j 1, ��- <br /> ate of Colorado <br /> Department of Natural Resources �� <br /> Division of Reclamation, Mining&Safety.�L� %N <br /> 1313 Sherman Street, Suit--"" <br /> Duty , CO 80203 C-1981-010 ; <br /> SL-18 <br /> Inspect Notif <br /> t iih ;l'�l►�tilii` l' ; � .. , . <br /> pill <br /> COMPLETEDELIVERYTHIS SECTION ON <br /> ■ Complete items 1,2,and 3. A. signature <br /> ■ Print your name and address on the reverse0 Agent <br /> so that we can return the card to you. X Rpoeivect, ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(PNnted Name) C. Date of Delivery <br /> or on the front if space permits. AJt.?E.� <br /> 1 6 2011 <br /> D. Is delivery address different from item 1? ❑Yes <br /> Colorado State Boardif YES,enter delivery address below: [3 No <br /> Commis iojers <br /> of Land <br /> 13Y3 Sher i ,t"Room 620 <br /> Denver, 4 OQ 80203 <br /> " <br /> .: <br /> II I IIIIII IIII III I II II II I�I 3. Service Type ❑Priority Mail xpress® <br /> II I III II I I II III ❑Adult Signature ❑Registered MaiIT"^ <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 11 Certified Mail® Delivery <br /> 9590 9402 2543 6306 1356 22 ❑Certified Mail Rstricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. AMAniiti rr4;-F n Cnnert nn nPllvery Restricted Delivery ❑Signature ConfirmationTm <br /> ignature?014 0150 0000 913 8 5846 estricted Delivery °R Restricted Delivery tion <br /> uver aow <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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