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_GENERAL DOCUMENTS - M1981075 (2)
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_GENERAL DOCUMENTS - M1981075 (2)
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Last modified
9/3/2020 3:41:17 PM
Creation date
9/17/2018 2:31:36 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M1981075
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Certified Mail Receipt
From
DRMS
To
Ms. Frances Phillips
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse x-a ' . i . . I C�G �dent <br /> so that we can return the card to you. l��/'�Cl C - uc C l Addresae <br /> B. Received by(Printed Namel Date of Deliver <br /> IN Attach this card to the back of the mailpiece, 4> <br /> or on the front if space permits, �$ <br /> 1, A irlo o a D. Is delivery address different from item 1? ❑Yes <br /> It YES.enter delivery address below; ❑ No <br /> Ms. Frances Phillips <br /> 7850 Ute Hwy <br /> Longmont, CO 80503 <br /> 3. Service Type S Pnon?y Mail Erpiess <br /> Adult Signatuie ❑Registered klail- <br /> Adult Signature Restneted Delivery ❑Registered Ma t Restrie <br /> I :�Certified Mail D Delivery <br /> g5�0 9102 2��3 F{'v`J 1372 5 certified Mail Restricted Delivery ❑Return Receipt for <br /> Colle;,t on Delivery <br /> 2 Arti le Numher(Transfer from service label -Collect on Delivery Restricted Delivery Sign re Cnnfrr rat: <br /> � _Insured Mail C Signatir nf�Gorrra?:aror <br /> =rose;s;o Restricted Delivery Rest,�t ,Da i,ery <br /> 7 016 2140 0000 2345 7288 <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receil <br /> USPS TRACKING# 0 .:U'v'""Fd' <br /> First-Class ; <br /> Postage&-ees Kar; <br /> 111 USPS w 'AI_ r . <br /> Permit No. <br /> 9590 9402 2543 6306 1372 51 <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 /> ivision of Reclamation, Mining&Safety <br /> 313 Sherman Street, Suite 215 <br /> enver, CO 80203 Spec ivy , <br /> 0 lFile ✓n Mlef/u;5 <br />
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