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2019-09-03_REVISION - X201723402 (3)
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2019-09-03_REVISION - X201723402 (3)
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Entry Properties
Last modified
9/12/2019 9:39:36 AM
Creation date
9/12/2019 6:56:31 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
X201723402
IBM Index Class Name
Revision
Doc Date
9/3/2019
Doc Name Note
For Proposed Decision
Doc Name
Certified Mail Receipt
From
Moffat County Commissioners
To
DRMS
Type & Sequence
SL2
Email Name
TNL
JDM
Media Type
D
Archive
No
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USG# <br /> First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> 9590 9402 2053 6132 7872 95 <br /> United States 10 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 /> Division of Reclamation,Mining& Safety <br /> CC's/ �01313 Sherman Street, Suite 215 <br /> RE 6 Y Denver,CO 80203 S"�"��234.02 <br /> SEP 0 3 2019 X20 <br /> AMASL_2 osed Dec - <br /> DIA OF RECLTION Prop <br /> MINING ANO SAFETY,111' <br /> SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Sig ture <br /> ■ Print your name and address on the reverse X (E 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(Printed Name) C. Date of Delivery <br /> or on the front if space permits. $ �S <br /> 1 Article ArfdreccaA+, D. is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: [I No <br /> - Moffat County <br /> Commissioners RECEIVED <br /> Countv Commissioner <br /> 221 W Victory Way , <br /> -- Craig, CO 81625 1 AUG Z <br /> IIIIIII'II'lII'IIII�IIIIII II III IIII IIIIIIIIIII 3. ServiceNSION OF RECLAMANONymail Expressa <br /> ❑Adult Signal ure*FEeeggistered Mail Restricted <br /> red MaFm <br /> El Adult Signatu <br /> 9590 9402 2053 6132 7872 88 ❑Certified Mad® Delivery <br /> ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2, 4Mlrle Ni mher(Transfer frnm servir-e/abe/) ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationrm <br /> 7014015000009138 614 0 ❑Insured Mail 11Signature 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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