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PERMFILE40536
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PERMFILE40536
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Entry Properties
Last modified
8/24/2016 10:43:27 PM
Creation date
11/20/2007 10:22:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006081
IBM Index Class Name
Permit File
Doc Date
1/31/2007
Doc Name
Return receipts of Landowners
From
LJ Development, Inc.
To
DRMS
Media Type
D
Archive
No
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~ .~ <br />~ .~ ~ <br />m ,gym <br />a .a .. <br />~ .~~ <br />..I. ~ ~e g~~ <br />~~ fll ',IN ' <br />..D ..D ~0 ,., i <br />~ Postage $ ~~'.~' _~il <br />~~ m Ilm <br />O I O Certified Fee ~?..4G t <br />O ,IO Retum Receipt Fee D~C ~P}{es~ar~D06 <br />(Endorsement Regwred) :1.5~ <br />~ •~ I ~ Resiritled D¢livery Fee <br />ra i (Endorsement Required) - SGT. ~ ~\.,, ,,..' <br />r9 . i r9 -- p <br />~ I~ Total POSta9e8Fm= ~ $"i.$~ !Cl ~'~~`!T`~S~ <br />o 'I~ seerro - -- MARKDAVIS <br />o • I o - COLORADO STATE LAND BOARD <br />i °fPo~NO 1313 SHERMAN STR., RM 621 <br />`ciy, siaie;ziad DENVER, CO &Y203 <br />t\ <br />O <br />zoo <br />~q0 <br />W <br />a ~ ~ <br />r" Q~i <br />zd <br />w z;o. <br />P~ <br />Q to „'7 <br />.-l cr a <br />^ Complete Rams 1, 2, and 3. Also complete <br />Rem 4 R Restricted Delivery Is desired. <br />^ Print,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 />or on the front R space.pertnRs. - <br />1.. Article Addressed to <br />MARK DA VIS <br />COLORADO STATE LAND BOARD <br />1313 SHERMAN STR., RM 621 <br />DENVER, CO 80203 <br />z. Artide <br />servke IabeD <br />a <br />W~ <br />A ~ <br />Z ~ <br />wa'o <br />F ~ N <br />Fz~ <br />h ~ ¢ Q <br />>O~U <br />A ~ <br />Q <br />O~z>z <br />~O~W <br />zu"'c <br />A Signature ~ ,~p.~ ; <br />X ~~ '~~/G~~~ dAgent <br />^ Addressee <br />B. Recei by (printed Name) C. Date of Delivery <br />D. Is delivery address difterem Irwn Rem 1? ^ Yes <br />1i YES, enter datvery address bekw: ^No <br />3. Servk» Type ! <br />Certified Mail ^ Express Mal <br />O Registered O Retam Receipt br MercharMise ~ <br />O Insured Mai ^ C.O.D. <br />4. ResMcted DellveyJ /Fxha Fee) O Yes <br />7~~6 ~81~ ~0~3 6212 5184 <br />PS Form 3$11, February 2004 ~ Domestlc •Re[um Receipt <br />I <br />102S95O2-A41500 <br /> <br />
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