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REV03768
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REV03768
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Entry Properties
Last modified
8/25/2016 1:01:42 AM
Creation date
11/21/2007 9:11:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
Revision
Doc Name
Certified Return Receipt
To
DRMS
Type & Sequence
SL4
Media Type
D
Archive
No
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~~go-~ <br />SL- ~{ <br /> <br />^ Complete items 1, 2, and 3. Also complete <br />ttem 4 tt Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we ran return the card to you. <br />^ Attach this card to the back of the mailplece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Attn; Henry Austin <br />U. S. Department of the Interior <br />Office of Surtace Mining (OSM) <br />Reclamation & Enforcement <br />P O Box 46667 <br />Denver CO 80201-6667 <br />2. Article Numher <br />A Signature <br />X ^ AgeM <br />^ Atldressee <br />B. Received M' (Printed Name) C. Date of Delivery <br />D. Is delivery addneretnr 1? ^ Yes <br />tl YES, enter delivery address f3Fow: ^ No <br /> <br />3. Service Type <br />O Certiaed Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise . <br />^ Insured Mall ^ C.O.D. <br />4. Restduted DelNertR (Ex6a Fee) p Yes <br /> <br />PS Form 3811, February 2004 Domesdc Retum Receipt <br />ta2sssoz-m-tsao_ <br />
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