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INSPEC40293
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INSPEC40293
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Entry Properties
Last modified
8/24/2016 9:44:33 PM
Creation date
11/18/2007 11:15:36 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985008
IBM Index Class Name
Inspection
Doc Date
12/31/2001
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
12/5/2001
Media Type
D
Archive
No
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• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Prlnt your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />w on the front if space permits. <br />1. Article Addressed to: <br />p/l~'a.n cP~ a- ~j'~ Vi1. ~1 a.U <br />~ `~~ <br />~(.c.~-Qo ~. ~~pO~o <br />A. Received by (P/ease Pnnt C/eatly) Da a of Deli <br />C. Sig byre <br />~.~ / ~, ~ , O Agen[ <br />0. ~ delivery address different 1lorn rte ? V Yes <br />If YES. enter delivery address helow: ^ No <br />3. Service Type <br />~Cenifietl Mail ^ Express Mail <br />^ Registered ^ Return Receipt Icr Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? /Extra Fee) ^ Yys <br />2. Article Number {Copy (mm service label) <br />~noo i~ 70 0©o~ 5~i/~ c2 qit~ <br />PS Form 3811 ,July 1999 Domestic Return Receipt 2595-00~M-0B62 <br />m <br />a <br />tr <br />~ <br />DM6.1313 Sharman, <br />S <br />ra Postage 3 <br />.-a <br />S <br />C¢rtdi¢tl FB9 <br />W R¢lurn R!G¢ipt F¢e <br />~ <br />D (Entlorsement fl¢qumetl) - <br />~ <br />~ Restricted Delivery Fee <br /> (Entlorsement Regmretll <br />., <br />O r <br />t` Total Poetepa 8 Fae~ <br /> <br />,a 5¢nf <br />TO <br /> ^ <br />~^_ <br />v <br />~~ <br />~'~ <br /> <br />~ .. <br />wl.l. <br />. <br />Street, Apr No., or Boxes <br />O <br />o .aJ <br />L <br /> <br />(• . .. <br />_..-_ .-- <br />Cit e. ZIP+< <br /> <br />215, Denver, CO 802113 <br />'l <br />` / Postmark <br />-T~ Hera <br />~j,J': <br />- - ~.)~~ <br />1 ............... _-...-.-........... <br />
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