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2019-09-18_REVISION - C1981010 (3)
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2019-09-18_REVISION - C1981010 (3)
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Entry Properties
Last modified
9/19/2019 7:41:01 AM
Creation date
9/19/2019 7:06:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
9/18/2019
Doc Name Note
For Notice of Inspection
Doc Name
Certified Mail Receipt
From
Colorado State Land Board - Jerod Smith
To
DRMS
Type & Sequence
SL20
Email Name
RAR
JDM
Media Type
D
Archive
No
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First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> t <br /> 9590 9402 2053 6131 7873 01 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box* <br /> Postal Service State of Colorado <br /> RECEIVED <br /> Department of Natural Resources <br /> Y G Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> SEP 1-8 2019 Denver,CO 80203 <br /> EO - C1981-010 <br /> V DIVMINiNG AND SAVFYON SL-20 <br /> e o;f:WsPeCtion <br /> P R-1 <br /> SE <br /> OV PNp Sp,FEN <br /> MiN�N <br /> 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 X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B• ved b (Printed N rG. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed in- D. Is delivery address different from item 1? ❑Yes <br /> Jerod Smith If YES.enter delivery address below: 0 No <br /> Colorado State Land Board <br /> 2667 Copper Ridge Ciro Unit 1 <br /> Steamboat Springs , CO 80487 <br /> II I III II III III ISIVIII (III I I I II I II III 3 Service Type ❑RPriorityegtst Mail ail- she <br /> ❑Adult Signature ❑Registered Mailr"� <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mad(D Delivery <br /> 9590 9402 2053 6132 7873 01 ❑Certified Mail Restricted Delivery EJReturn Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 <br /> T^^^+ 1—service label) ❑Collect on Delivery Restricted Delivery 0 Signature ConfirmationTM <br /> rJ Insured Mail ❑Signature Confirmation <br /> 7 014 0.15x'0 00 0 0 913 8 616 4 ]Insured Mail Restricted Delivery Restricted Delivery <br /> cover$500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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