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2020-05-21_REVISION - C1981022 (17)
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2020-05-21_REVISION - C1981022 (17)
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Entry Properties
Last modified
6/3/2020 2:02:03 PM
Creation date
5/22/2020 7:25:01 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981022
IBM Index Class Name
Revision
Doc Date
5/21/2020
Doc Name
Notice of Inspection
From
DRMS
To
OSM
Type & Sequence
SL2
Email Name
LDS
JDM
Media Type
D
Archive
No
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■ Gomplete items 1, 2, and 3, <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mallpiece, <br />or on the front if space permits. <br />1. p <br />Howard Strand <br />Office of Surface Mining <br />Western Region <br />One Federal Center. Building 41 <br />PO Box 25065 <br />Denver, CO 80225 <br />iuuamiI1iiiimumuunuiuuw <br />9590 9402 5506 9249 0493 46 <br />O Arllnla #liimher rTrancfixfmm carvltsa ta/w!l <br />7017 2400 0000 9119 <br />A. signature <br />X13 Agent <br />13 Addressee_ <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 17 ❑ Yes <br />It YES, enter delivery address below, ❑ No <br />Ps Form 3811, July 2015 PSN 7530-02-000-8053 Domestic Return Receipt . <br />■ <br />CERTIFIED ■ ■ <br />cc <br />■■■■■arrrrr�.0 C3 a0mestit mail f <br />ru ru <br />SOON= I <br />r, [ OFFCOAL USE <br />, Cenmed Mall it <br />a�rrr■r■ Er Q- is <br />C8s am OMWA bmk add hre as fipprafrfate} <br />■� C3 O . ❑Ronan RefittonkWA S. -__ <br />~ rr■r C3 C3 ? ❑RetunRac ltelecWntc) $--- Postmark <br />C3 ©; ❑ C&OW MM RWWatea oewoy S Here <br />C3 C3 ❑nansgn—ReWW $ <br />C3 C3 0Adutsp-.Reeareted—my s <br />C3 Q Postage <br />ru rid RAW poatege OW raft <br />Howard Strand <br />se' 79Office of Surface Mining <br />L3 O Western Region <br />r- r- 7 One Federal Center, Building 41 <br />PO Box 25065--T <br />Denver, CO 80225 <br />mo SIMMONS <br />1• <br />3. Service Type <br />❑ Pdwy Mail F-VrMG <br />❑ Adult signature <br />D Registered Mall*- <br />❑ Adult Signature Restricted Delivery <br />❑ Cartifled Mau® <br />[i RVegIered Mail Restricted <br />D.Ave y <br />❑ Certifled Mau Restricted Delivery <br />D Return Receipt for <br />❑ Collect on Delivery <br />Merchandise <br />❑ Collect on Delivery Restricted Delivery <br />❑ Signature Contirmatlonm <br />32118 <br />11Re <br />liv <br />Nal: Restricted Degvery <br />Resiritctteed Delivery <br />Ps Form 3811, July 2015 PSN 7530-02-000-8053 Domestic Return Receipt . <br />■ <br />CERTIFIED ■ ■ <br />cc <br />■■■■■arrrrr�.0 C3 a0mestit mail f <br />ru ru <br />SOON= I <br />r, [ OFFCOAL USE <br />, Cenmed Mall it <br />a�rrr■r■ Er Q- is <br />C8s am OMWA bmk add hre as fipprafrfate} <br />■� C3 O . ❑Ronan RefittonkWA S. -__ <br />~ rr■r C3 C3 ? ❑RetunRac ltelecWntc) $--- Postmark <br />C3 ©; ❑ C&OW MM RWWatea oewoy S Here <br />C3 C3 ❑nansgn—ReWW $ <br />C3 C3 0Adutsp-.Reeareted—my s <br />C3 Q Postage <br />ru rid RAW poatege OW raft <br />Howard Strand <br />se' 79Office of Surface Mining <br />L3 O Western Region <br />r- r- 7 One Federal Center, Building 41 <br />PO Box 25065--T <br />Denver, CO 80225 <br />mo SIMMONS <br />1• <br />
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