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2004-08-04_REVISION - M1991083
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2004-08-04_REVISION - M1991083
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Entry Properties
Last modified
6/15/2021 6:06:03 PM
Creation date
11/21/2007 12:39:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1991083
IBM Index Class Name
Revision
Doc Date
8/4/2004
Doc Name
Cert. Mail Returns
From
LJ Development
To
DMG
Type & Sequence
CN1
Media Type
D
Archive
No
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RULE 1.6.2(1)(d) and RULE 1.6.2(1)(e) NOTICE REQUIREMENT ITEM # 8 (page ii) <br />• <br />D- ~ r ~ - <br />N ~' ~ <br />m <br />ra Postage 5 ~.~ ~~18~{ <br />~ Cenifetl Fee ~• ~ O~~pG <br />O Posanark~, t`' <br />Q Retum Reclept Fee Hera <br />(Endorsement Required) 1. ~ <br />O ResUictedDeliveryFee Gte~.' KC[I{t~~4 <br />,-R (Endorsement Required) <br />O ~ <br />'~ Total Postage 8 F••= ~ 4.42. `°>- ~ 1I11,8/04 <br />~ Sent TO VSPS <br />o SHIREY LLOYD <br />r~ -SGeei,iiPi"rio.; 3115 CR 160 <br />or Po Box Na. <br />ci6. s~~a•-ziw WESTCLIFFE, CO 81252 <br />n <br />LJ <br /> J I <br />~ . • . <br />^ Complete items t, 2, and 3. Also complete ~ A. Signet i <br />item 4 if Restricted Delivery is desired. <br />^ P <br />i X ^ Agent <br />r <br />nt your name and address on the reverse <br />so that We can retu <br />th ^ Addressee ~ <br />rn <br />e card to you. g <br /> <br />^ Attach this card to the back of the mailpiece, , ReceNed b nted N <br />y ( <br />C. Date of Delivery ~ <br />or on the front if space permits. I <br />1. ANCIe Addressed to: D. Is delivery adtlress differem trwn kern 1? ^ Yes I <br /> If YES, enter delivery ss~lo ^ No ~ <br /> JF~ ~~G~~ I <br />SHIREY LLOYD ~~ 2GD~ ` i <br />3115 CR 160 zl N.Z~ J ~ <br />WESTCLIFFE, CO 81252 3. Service Type ~ / i <br />^ Certified Mali '~ Ex tdaitcj <br />^ Registered ^ r ce tfor Merchandise <br />^ Insured Mail ^ C.O.D. ' <br />4. Resmcted Delivery! (Extra Fee) ^ Yes 1 <br />2. Article Number 703 101 DOOZ 1363 SZ59 i <br />(Tianster /rom service labeQ I <br />PS Form 3811, August 2001 Domestlc Return Receipt 1ozs9s-o2-M-tsaa i <br />i <br /> <br />
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