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2018-12-10_REVISION - M1997026
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2018-12-10_REVISION - M1997026
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Entry Properties
Last modified
1/5/2025 4:18:32 AM
Creation date
3/25/2019 2:46:26 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997026
IBM Index Class Name
REVISION
Doc Date
12/10/2018
Doc Name
Application
From
Oldcastle SW Group
To
DRMS
Type & Sequence
SO2
Email Name
SJM
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 I 113�esent <br /> so that we can return the card to you. X 11, l ',i ❑Addressee <br /> W Attach this card to the back of the mailpiece, B. Received by(Prim-Ted Name) C. Date of Delivery <br /> or on the front if space permits. ��•� �. f f `�- <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> :ack Hills Energy <br /> Pa Sox 6006 <br /> Rapid City, SD 57709 <br /> �I I'lll'I III I�I I II I II IIII I II'I I I IlIII I III III 3. Service Type ❑Priority Mall Express® <br /> �Adult Signature ❑Registered MaiIT'" <br /> ❑Adult Signature Restricted Delivery t7 Pegistered Mail Restricted <br /> Certified Mail® Delivery <br /> 9590 9402 4156 8092 0560 15 Certified Mail Restricted Delivery 18[Retum Receipt for <br /> ❑Collect on Delivery r� ``MMerchandise <br /> 2 Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 11 Signature Confirmation7m <br /> 7 017 2620 000 7 ti$0 9 D 4 6 ❑1-1 InsuredMail ❑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 /> RECEIVED <br /> EB 0 8 2019 <br /> �)IVISION OF RECLAMATION <br /> MINING AND SAFETY <br />
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