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2019-05-14_REVISION - C1981022
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2019-05-14_REVISION - C1981022
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Entry Properties
Last modified
5/15/2019 9:55:02 AM
Creation date
5/15/2019 9:41:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
Revision
Doc Date
5/14/2019
Doc Name Note
For Inspection Notification
Doc Name
Certified Mail Receipt
From
OSM
To
DRMS
Type & Sequence
SL1
Email Name
LDS
Media Type
D
Archive
No
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USPS TRAC., QNG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7865 26 <br /> United States I •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 /> 14herman Street, Suite 215 <br /> 1i'�er, CO 80203 <br /> C-1981-022 <br /> MAY 142019 SL-1 <br /> WATIM Inspection Notification <br /> i LDS/A}HHi <br /> .., i�° -iiF•-� ��i���iji�iflil�ii�i{�f�Isa� s {•i •�t�trtfri{i�k� <br /> i !i it It { 33s t <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sign ture <br /> ■ Print your name and address on the reverse ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by( ted N C. Date of Delivery <br /> or on the front if space permits. _ - v <br /> 1 ArticlP.A_r'd--• 4+ D. Is deliveq address Aikent from item 1? es <br /> Howard Strand If YES.enter delivery address below: Q No <br /> a#Office of Surface Mining <br /> Western Region <br /> 1999 Broadway, Suite 3320 <br /> Denver,CO 80202 <br /> II I III'I IIII III I II I VIII( II III II I I I I I I 3. ServiceType C Man express <br /> G Adult Signature ❑Registered <br /> MaiIT"" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7865 26 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 f . . ., __ ____o__�_..„ „,; r ti tt ❑Collect on Delivery Restricted Delivery Signature ConfirmationTM <br /> D Insured Mail ❑Signature Confirmation <br /> 7014 015 0 0000 913 8 5945 ❑Insured Mau Restricted Delivery Restricted Delivery <br /> lover$500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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