INSPEC23167

• Permit No: M1999024
• IBM Index Class Name: Inspection
• Doc Name: MINERALS PROGRAM INSPECTION REPORT
• Inspection Date: 1/12/2000
• Media Type: D
• Archive: No

SENDER: I also wish to receive the
•Complete demsl and/or2 for addilionel services blOWln services for an
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• Complete items 3. 4a. and 4b
• Print your name and address on the reverse o! Ibis Iprm so that we can return phis extra fee):
cans to you.
• Attach it`is form to the Iron) of the mailpiece, or on the back d space tloes not
1. ^ Addressee's Address
pennn.
• Wme 'ReNrn Fecerp! Fequesled'on Ine manpiece below the edmle number
2. ^ Restricted Delivery
. Tne ReWrn Receipt wnl show to whom ine article was delivered entl the dale
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to:
4a. Article
Ms. Elizabeth Pacheco, County Administrator ab. Service Type
Costilla County ^ Registered Certified
P.O. Box 100 ~ ~ ^ Express Mail ^ Insured
San Luis, CO 81152 _ ~^ Return Receipt for Merchandise ^ COD
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(Only d requested
PS Form 3811,`December 1994 ~ ~ 10259598-9-0229 Domestic Return Receipt
PS Form 3800, April 1995
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