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2020-11-03_REVISION - C1981044 (12)
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2020-11-03_REVISION - C1981044 (12)
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Entry Properties
Last modified
11/17/2020 3:17:00 PM
Creation date
11/3/2020 9:36:18 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981044
IBM Index Class Name
Revision
Doc Date
11/3/2020
Doc Name
Notice of Inspection
From
DRMS
To
OSM
Type & Sequence
SL5
Email Name
RAR
JLE
Media Type
D
Archive
No
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COMPLETE • <br /> ■ Complete iteafk it?,and 3. A. Sjgfi�ture, <br /> ■ Print your name'Af d address on the reverse X >� ;�'- 1 13 Agent <br /> 11 Addressee <br /> so that we can r5turn the card to you. <br /> ■ Attach this card to the back of the mailpiece, 1`1ceived by(pant d Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. Article Addra—er'-f— -- - D. Is delivery address di from item 1? ❑Yes <br /> If YES,enter delivery a dreg below: ❑No <br /> Howard Strand t >�.n <br /> Office of Surface Mining <br /> Western Region <br /> One Federal Center, Building 41 <br /> PO Box 25065 <br /> Denver,CO 80225 - <br /> �I�I'I lil I rl II I I I I I( I III I I III 3. Service Type ❑Priority Mail I' TM I I ssO <br /> ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restrictec <br /> ❑Certified Mad® Delivery <br /> 9590 9402 2543 6306 1 144 67 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 „ __ r- _�__�_ „,; r tiers ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationym <br /> 70 6 214 0 0000 2345 9107 °Insured Mail °Signature stct d Delivery <br /> anon <br /> ❑Insured Mail Restricted Delivery ry <br /> —, (over$500) _ <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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