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2017-10-12_REVISION - C1981013
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2017-10-12_REVISION - C1981013
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Entry Properties
Last modified
10/20/2017 6:44:05 AM
Creation date
10/20/2017 6:27:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981013
IBM Index Class Name
Revision
Doc Date
10/12/2017
Doc Name Note
Inspection Notification
Doc Name
Certified Mail Receipt
From
XTO Energy Inc
To
DRMS
Type & Sequence
SL7
Email Name
RDZ
JRS
Media Type
D
Archive
No
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11111111111111111111111111111 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />9590 9402 2543 6306 1359 98 <br />United States• Sender. Please print your name, address, and ZIP+4® in this box* <br />Postal Service <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />313 Sherman Street, Suite 215 <br />'ecomewnver, CO 80203 <br />C 1981-013 <br />� <br />C� 22011 SL -7 <br />- Inspection Notification <br />Notification RDZIAHH <br />OPV`SMS`vx9&;illrIII lr(!i„Il11ijlt1i„ll- 11111;i,11lri <br />■ Complete items 1, 2, and 3. <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 />XTO Energy Inc. <br />810 Houston St <br />Forth Worth, TX 76102 <br />X ❑ Agent <br />❑ Addressee <br />B. eceroed by Prpte�d Name) C. Date of Delivery <br />0 6 2017 <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Priority Mail Express® <br />Adult Signature <br />❑Registered Ma <br />II <br />I <br />IIIIII <br />III <br />III <br />I II II <br />II III <br />I <br />III <br />II <br />I IIII <br />III <br />I I III0 <br />❑ Adult Signature Restricted Delivery <br />❑ Reeggistered Mailil Restricted <br />❑ Certified Mail® <br />Delwery <br />9590 9402 2543 6306 1359 98 <br />❑ Certified Mad ivory ed Delivery <br />❑ Collect on Delivery <br />MerchaReturn ndise for <br />2. Article Number frrA—f, s._ - <br />913 8 <br />7 Collect on Delivery Restricted Delivery <br />5 7 9 2 1 Insured Mail <br />11 Signature Confirmation m <br />❑ Signature Confirmation <br />7014 1+ 5 [' O 0 a <br />' L7 Insured Mail Restricted Delivery <br />Restricted Delivery <br />(over $500) <br />Ps Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />
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