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_GENERAL DOCUMENTS - M2001085 (3)
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_GENERAL DOCUMENTS - M2001085 (3)
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Last modified
9/3/2020 3:43:00 PM
Creation date
9/10/2018 11:17:27 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2001085
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Certified Mail Receipt
From
DRMS
To
Adam Schultejann
Media Type
D
Archive
No
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F___ I--I -------------- <br /> SENDER:COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELMERY <br /> • coalplrto Item _S'�& 1 22 a:id 3 X ,nat <br /> • Print your name and address or,the reverse D Aycnt <br /> so that we can return the card to you. Address,, <br /> • Attach this card to the back of the mailpiece, Received (Printed Nam!) c Date of DeU, <br /> I v\ <br /> or on thefront if space perrriit�, <br /> D Is de F1z1\'__ soiffPrenttf,.),,-,item 1) FDYC� <br /> Adam Schultejann <br /> 120 85 LLC. <br /> 10925 E. 120th Ave I <br /> Henderson, CO 80640 <br /> 8 �JPT tC r <br /> �j'j 9_10 , 0�jy3 r 3, <br /> _5 �MCCJ A, hestnuteciDeii,jery <br /> Collect on Delivery <br /> -_--: ustjj,t�d Dell_ S,gn:ii,Con-,Collect cn Dclivery R <br /> 0 S'Cj1' <br /> J �,Iaii <br /> 7 16 2140 0000 2345 9459 Insured Mail Restncted uelrv�ry Restricted Delpicr\ <br /> icver S50U) <br /> P On,rZ pQrl F,- C"'I" <br /> USIPS TRACKING# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS Permit No.G-10 <br /> 9590 9402 fiM132 7803 33 <br /> United States e Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> Division of Reclamation, Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> Denver, CO 80203 <br /> WA-wwwo" 6MASk 019fat <br /> M_ <br /> -If I III I VOWW14-657- <br />
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