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REV01935
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REV01935
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Entry Properties
Last modified
8/25/2016 12:59:30 AM
Creation date
11/21/2007 8:56:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1987072
IBM Index Class Name
Revision
Doc Date
6/1/2004
Doc Name
Certified Card for Notify of Bond Release Inspection (Various Dates)
Type & Sequence
SL2
Media Type
D
Archive
No
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~~ <br />q ~-0`7~ 5>-z <br />n~l-~~ c~e o~ ~pc~m ~ ~~~~~ -~-~ (~~~ <br />~~~~ <br /> ., <br />a ~ , <br />m <br /> <br />m <br />~ D11~1~3er l~tla,~ ~0~ <br /> <br />~ Feetege s <br />~ <br />o <br />camnaa r-ae <br />, ~JO -- <br />., <br />p Retum Redept Fee <br />m R <br />i <br />d <br />E <br />d i <br />' <br />• '~ a~~oyNmrk, ~. <br />S 'Mere C <br />`.. ~` <br /> equ <br />re <br />) <br />( <br />n <br />oreeme ~ O <br /> e <br />F <br />~ ~ ~Ay 2~~ ;I <br />~ memRequtr <br />tl <br />( <br />1 ~t <br />ru <br />To~BFees <br />g <br />(. u r~; <br />; <br />24 <br /> 4 y <br />N ~ ' <br />o f'1S 9~ r <br /> <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if 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 tha back of the maiipiece, <br />or on the front if space permits. <br />f. Article Addressed to <br />Office of Surface Mining <br />Att: Henry Austin/Much Rollings <br />1999 Broadway, Suite 3320 <br />Denver, CO 80202-5733 <br />A. Signature <br />^ Agent <br />X "~G.: .:: lt~ . <br />^ Atldressee <br />B. Received by (Panted Name) C. Dale of Delivery <br />D. Is delivery atldress tlifferent from Rem 11 ^ Yes <br />If VES, enter deliveryleddress,~beknv:r ti ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery! (Extra Fee) ^ Yes <br />2. ArticleNUmber 7002 2410 005 9145 8321 <br />(transfer from service labeq <br />PS Form 3811, August 2D07 Domestic Retum Receipt 102595-02-M-15Ea . <br />
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