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2017-08-22_REVISION - C1981010 (16)
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2017-08-22_REVISION - C1981010 (16)
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Entry Properties
Last modified
8/25/2017 7:11:20 AM
Creation date
8/23/2017 9:49:37 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 Land Board
To
DRMS
Type & Sequence
SL19
Email Name
RAR
DIH
Media Type
D
Archive
No
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r=1 <br />tT" <br />CD <br />Ln <br />Co <br />M <br />ra <br />U_ <br />0 <br />C3 <br />(Ern <br />Certified Mail ProVIE <br />■ A mailing receipt <br />■ A unique identifier for yc <br />■ A record of delivery kep <br />Important Reminders: <br />■ Certified Mail may ONL <br />■ Certified Mail is notavai <br />■ NO INSURANCE CO <br />valuables, please consi <br />■ For an additional fe <br />delivery. To obtai <br />Receipt (PS Form 1) <br />fee. Endorse mailpiece " <br />a duplicate return receipt <br />required. <br />■ For an additional fee <br />C-1981-010 <br />SL -19 <br />Inspection Notification <br />Y rar/ahh ty Maile. <br />Ve <br />ROVIDED with Certified Mail. For <br />dRegistered Mail. <br />t may be requested to provide proof of <br />LI please complete and attach a Retumkd add applicable postage to cover the <br />RetuRequest d". To receive a fee waiver for <br />�p�U�tpostma kWyour Certified Mail receipt is <br />tricted to the addressee or <br />or mark the mailpiece with the <br />■ If a postmark on the �it receipt is desired, please present the arti- <br />cle at the post office for p Marking. If a postmark on the Certified Mail <br />receipt is not needed, detach and affix label with postage and mail. <br />IMPORTANT: Save <br />ythis receipt and present it when rr ' i%inquiry. <br />PS Form 3 <br />uR0��s-gS3QJlterma KSr1 2ANaW <br />Postage: <br />Certified Fee: <br />Return Receipt Fee <br />1• v 0 <br />$3• 0� <br />i <br />p Re t• `Y <br />C3 (En' Total Postage and Fees: $6.56.Ln <br />`' A <br />Total Postage & Fees <br />s Jerod Smith <br />a Colorado State Land Board ---------------------------- <br />E3 555 Breeze Street, Suite 110 •--------------------------- <br />Craig, CO 81625 <br />
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