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2017-12-04_GENERAL DOCUMENTS - M1997058
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2017-12-04_GENERAL DOCUMENTS - M1997058
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Last modified
1/8/2021 12:12:53 PM
Creation date
11/30/2017 10:16:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997058
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
12/4/2017
Doc Name
Certificate of Insurance
From
DRMS
To
Bestway Concrete Company
Media Type
D
Archive
No
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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l <br /> SENDER: COMPLETE THIS SECTION COAIPLETE THIS SECTIONON DELIVERY <br /> Sl�ature <br /> ■ Complete items 1,2,and 3. A. <br /> A <br /> ■ Print your name and address on the reverse X 0 Addressee <br /> so that we can return the card to you. Addressee <br /> ■ Attach this card to the back of the mailpiece, 1v by(Pri a e) C. at of D�liv�ly <br /> or on the front if space permits. //rJ <br /> 1. Article Addressed to: D. Is delivery address dill n ai item 1? ❑Yes <br /> If YES,enter delivery address below: 4(No <br /> Mr Mark Johnson <br /> Bestway Concrete Company <br /> 301 Centennial Dr. <br /> Milliken, CO 80543 <br /> 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaIITM <br /> II I'III'I III ICI I II II II III I I I I i II III II I IIII III 11 Adult Signature p�Certified McII®Restricted Delivery ❑Degistered Mail Restricted <br /> 9590 9402 2543 6306 1351 27 ❑Certified Mail Restricted Delivery ❑Return IIMerchandise <br /> for <br /> ❑Collect on Delivery <br /> 2. Article Number ITrnncfar fmm--1 ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation^" <br /> 7 016 2140 0000 2345 8186 ❑insured Mail ❑Signature Confirmation <br /> ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> PostalT. <br /> ® RECEIPT <br /> 50 Only <br /> ca For delivery information,visit our website at www.uspsxom�. <br /> Ln it ' 11 , <br /> ,I- Cerr <br /> ti $ Postage: $0.670 <br /> o ❑ Certified Fee: '' - � - <br /> Oa O'Return Receipt Fee: , ;� $2.7 fi <br /> o T�-Total Postage & Fees: <br /> rq Total Postage and Feesru <br /> 'J <br /> -1 Sent To Mr. Mark Johnson <br /> o sv��s„ifaxro.;aF $eStway Concrete Company <br /> ----- 301 Centennial Dr- <br /> Mill- n,CO 80543 <br />
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