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INSPEC36083
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INSPEC36083
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Entry Properties
Last modified
8/24/2016 9:38:10 PM
Creation date
11/18/2007 10:54:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1989029
IBM Index Class Name
Inspection
Doc Date
10/17/2001
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
10/3/2001
Media Type
D
Archive
No
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~ Complete items 1, 2, antl 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />i~ Print your name and address on the reverse <br />so that we can return the card to you. <br />i~ Attach this card to the back of the mailpiece, <br />or on the front ii space permits. <br />I. Article Addressed to: <br />(',a~n~e NiC~I~ l',a~is <br />~~,~,o~wfe ,tn.~ixsiit-, es <br />31~os~ ~. Teller ~~ <br />(~akewoo~~ <br />8aa3s <br />2. Article Number (Copy /rom service label) <br />IBS Form 3b11, July 1999 <br />Prinr CleeAy) ~ B. Date of Delivery <br />C. S' ure <br />~ <br />^ Agent <br />^ ' ~ - <br />X <br />L~/(~(~ ^ Atldressee <br />D. Is delivery atltlress diRerent aom item 1? ~ Ves <br />II VES, enter tlelivery atldress below: ^ No <br />3. Service Type <br />^ Certifed Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />Domestic Return Receipt <br />r <br />n •1313 ShNman, m. enver, <br />r <br />O~ Postage E <br />.~ Certdied Fee ~ ~ ~ <br />~ PosimaA <br />1': Here <br />Return Receipt Fea ~[ <br />O (Endorsemem Requnedl ~ 1 ~, <br />O rz <br />~ Resincted peirvery Fee <br />~ IEndorsemenl Requnad) <br />.~ % <br />~w. <br />C7 Todl Rostaae 8 Fees <br />t• ~ '- aler) . <br />a MS CONNIE NICKLE DAVIS ' <br />-- - -- <br />o AGGREGATE INDUSTRIES <br />0 3605 S TELLER ST -- - '-- <br />LAKEWOOD CO 80235 <br />
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