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2021-09-24_REVISION - C1981010 (16)
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2021-09-24_REVISION - C1981010 (16)
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Entry Properties
Last modified
10/7/2021 9:43:27 AM
Creation date
9/27/2021 5:50:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
9/24/2021
Doc Name Note
October 7 Inspection
Doc Name
Notice of Inspection
From
DRMS
To
Jerod Smith - Colorado State Land Board
Type & Sequence
SL23
Email Name
RAR
JLE
Media Type
D
Archive
No
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COMPLETE •N COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> 13■ 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. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. <br /> 1. ! D. Is delivery address different from item 1? El Yes <br /> Jerod Smith If YES,enter delivery address below: 0 No <br /> Colorado State Land Board <br /> 2667 Copper Ridge Circle Unit I <br /> Steamboat Springs, CO 80487 <br /> II I IIT IIII III I II II I I I II II I II II II II I III 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiIT^" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> 0 Certified MWD a9590 9402 5506 9249 0543 71 ❑Certified Malt Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from servirP iahon n r.-11—t on Delivery Restricted Delivery ❑Signature ConfirrnationTM <br /> tail ❑Signature Confirmation <br /> 7 018 2290 0001 8923 0642 tail Restricted Delivery Reatdoted Delivery <br /> I tover Zbbu0) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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