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2019-02-20_REVISION - C1981008 (2)
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2019-02-20_REVISION - C1981008 (2)
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Entry Properties
Last modified
2/22/2019 8:47:45 AM
Creation date
2/22/2019 7:37:15 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
2/20/2019
Doc Name Note
For Inspection Notification
Doc Name
Certified Mail Receipt
From
Staats, Melvin and Lea Ann
To
DRMS
Type & Sequence
SL21
Email Name
BFB
Media Type
D
Archive
No
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r <br /> USPS TRACING# <br /> First-Class Mail <br /> ! Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402.,2053 6132 7865 57 <br /> United States •Sender:Please print your name,address,and ZIP+4®In this box• <br /> Postal Service State of Colorado <br /> Department of Natural Resources <br /> GJ Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> ,p*Denver, CO 80203 C-1981-008 <br /> 0 <br /> SL-21 <br /> co-_ -- - Insp Notific <br /> oAp\' ;gp�' flflrrtltrll,rrrr/rrfill <br /> IU <br /> lf�t��r�Itlrrlrrrr�rrfrirtllltilrllrr <br /> SENDER: COMPLETE THIS SECTIOIV Ek! Com LETE TLOS z;LCT1jjV 06, <br /> ■ Complete items 1,2,and 3. <br /> ■ Print your name.,and adglre�p on,tt)e-reverse..;.,. „ ��- �, '`6J Agent <br /> so that we can return ft,c&rd to'you:' X' ”"'aAddressee <br /> ■ Attach this card to the back of the mailpiece, B. Receive (Pr]fted Name) C. Dat*of Delivery <br /> or on the front if space permits. <br /> 1: A~"-'-",a- a+ — D. Is delivery address different from item 1? ❑Yes <br /> Sats, Melvin and Lea Ann if YES,enter delivery address below: 0 No <br /> PI). Box 10 <br /> cla, CO 81424 <br /> Il I IIIIII I'll I'I I II l VIII I Il III ll l II I�l I I l I III 3. Service Type 1:PriorityRegistered <br /> Mad Express® <br /> ❑Adult Signature C Registered MadTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 9590 9402 2053 6132 7865 95 El Certified Mail® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> 11Collect on Delivery Merchandise <br /> 2- F '-I Collect on Delivery Restricted Delivery 0 Signature Confirmation-i <br /> ?016 2 710 0000 2965 19 3 5 I 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 />
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