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2006-12-12_REVISION - M1977439
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2006-12-12_REVISION - M1977439
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Entry Properties
Last modified
6/15/2021 5:42:23 PM
Creation date
11/21/2007 10:08:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977439
IBM Index Class Name
Revision
Doc Date
12/12/2006
Doc Name
Adequacy Review Response
From
Lafarge West, Inc.
To
DRMS
Type & Sequence
AM3
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 />^ Print yotir'riarne and address on the reverse <br />so thet'we.can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the fronY~it~Bpace permits. <br />1. Article Addressed to: <br />Leora J. Roe Family Tnlst <br />2320 N. Taft Hill Rd. <br />Fort Collins, CO 80524 <br />2. A <br />n <br />^ Complete~iterris 1, 2, and 3. Also complete <br />kem 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 the back of the mailpiece, <br />or on the front 'rf space permits. <br />1. Article Addressed to <br />A Si nature _` <br />X ~ ~~Agent , <br />^ Addresser <br />~. Repeived by (Pdnted Name) ~ .Date of Delivery <br />D. Is delivery address different from Rem 1? ^ <br />If YES, enter delivery address below: <br />3. Service Type <br />~Certifed Mail ^ Express Mail <br />Registered ^ Retum Receipt for Memhandise <br />^ Insured Mail ^ C.O.D. <br />.+ oewN..rM nuli„nn,n /FNr~ Fool ^ Ye5 <br />102595-02-M-154t <br />A <br />^ Agent <br />C. Data of Delivery <br />D. Is delivery address tlifferent 1mm Rem 1? ^ Yes <br />If VES, enter delivery address below: ^ No <br />Randy and Janetta Gustafson <br />1154 N. Taft Hill Rd. <br />Fort Collins, CO 80521 <br /> <br />A Signature <br />B. Received b~J (Printed Name) { C. Date of <br />D. Is delivery address dRfereM from Rem 1? Ii9.Yes <br />If YES, enter delivery atldress below: ^ o <br />3. Service Type <br />~7 Cert~ed Mail ^ Express Mail <br />~o Registered ^Ratum Receipt for Memhantlisr <br />^ Insured Mail ^ C.O.D. <br />e__..w,., n..,:.__n ic,.... r..,.r ^ Yes <br />2 <br />3. rvice Type <br />Certified MaII ^ Express Mail <br />Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Deliveryl (EMm Feel ^ Yes <br />2. Artlcle Number <br />(transfer Iron service label) 7 0 0 5 116 D 0 0 01 3 714 2 8 8 <br />PS Form 3811, February 2004 Domestlc Retum Receipt °1 1ozs9soz-M-15a <br />r _COmplete items 1, 2, and 3. Also complete <br />i'^Itetn 4~if Restdcted Delivery is desired. <br />~-print your name and address on the reverse <br />sd that we can return the card to you. <br />~ ~,4YtaGFi this card to the back of the mailpiece, <br />oron:the~front if space permits. <br />1. Article Addressed to <br />Dr. Bill and Mrs. Mary Ann Martin <br />2305 N. Taft Hill Rd. <br />Fort Collins, CO 80524-1028 <br />2. r <br />
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