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2019-05-14_REVISION - C1981022 (2)
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2019-05-14_REVISION - C1981022 (2)
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Entry Properties
Last modified
5/15/2019 9:56:03 AM
Creation date
5/15/2019 9:41:51 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
BLM
To
DRMS
Type & Sequence
SL1
Email Name
LDS
Media Type
D
Archive
No
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USPS TRAQMG# <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 /> Wl%foo ,11T.' �herman Street, Suite 215 <br /> Iver, CO 80203 <br /> C-1981-022 <br /> MAY 14 2019 SL-1 <br /> WATM Inspection Notification <br /> LDS/AHH <br /> ` i s; <br /> e <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signat a N <br /> ■ Print your name and address on the reverse XAgent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, <br /> TecOved by( inted N me) C. D to f Delivery <br /> or on the front if space permits. /�.�' q <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> — If YES,enter delivery address below ❑ No <br /> k - sty Dyer <br /> Sureau of Land Management <br /> 2505 S. Townsend Ave <br /> Montrose, CO 81401 <br /> 3.III IIII III III VIII( II IIII II IIII II III Servicel Express(l) <br /> Signature 0 elsIIIII ❑Adult Restricted Delivery ❑Registered l Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7865 19 EJCertified Mad Restricted Delivery ❑Return <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM <br /> ` 7 014 015 0 0 913 8 5 9 6 9 ❑Insured Mail ❑Signature Confirmation <br /> ❑Insured Mad 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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