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2021-04-01_GENERAL DOCUMENTS - M2015009
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2021-04-01_GENERAL DOCUMENTS - M2015009
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Last modified
12/12/2024 9:34:58 AM
Creation date
4/5/2021 9:17:58 AM
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Template:
DRMS Permit Index
Permit No
M2015009
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
4/1/2021
Doc Name
Certificate of Insurance
From
DRMS
To
Way Up High Mining Company, LLC
Media Type
D
Archive
No
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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- eceived by Date' t j C. Date of Delivery <br /> or on the front if space permits. I <br /> 1. Article Addressed to: D. Is delivery address different item 1? ❑ <br /> If vGc —fcr deliv re I�`"� ❑N O <br /> Fred F. Wilson ��� h ' "' � z <br /> WayU High Mining Company, LLC <br /> P g � " Pan Y DIVISION <br /> 95 Nettle Creek Road MINING 7 ? <br /> Carbondale, CO 81623 <br /> I �'IIII)III 'I I IIIII IIIII IIIII' I' I I (�II 3. Service Type ❑Priority Mail Expresso <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 4898 9032 9062 22 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ElSignature ConfirmationW <br /> Mail ❑Signature Confirmation <br /> 7017 2400 0000 9119 0887 Mail Restricted Delivery Restricted Delivery <br /> 00) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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