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ENFORCE33163
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ENFORCE33163
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Last modified
8/24/2016 7:43:47 PM
Creation date
11/21/2007 1:38:53 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1995008
IBM Index Class Name
Enforcement
Doc Date
8/21/1996
Doc Name
CONSTRUCTION MATERIAL OPERATION 110 111 112 AND EXPLORATION OPERATIONS VIOLATION PRESENTATION FORM
Media Type
D
Archive
No
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Z 4 L 6 S~il~ 596 <br />--~5 -- <br />Receipt for M,-qs=oa8~ <br />Certifiect"1{Ra~l #'eusoy.la~al~a+r, <br />No Insurance Coverage Provided <br />~~ Do no[ use for International Mail <br />ISee Reverse) <br />~i <br />a, <br />0 <br />0 <br />m <br />al <br />E <br />o` <br />a <br />N <br />a <br />sang ~e Y <br />FREMONT PAVING & REDI-MIX <br />Sneer ann mo <br />P 0 BoX 841 <br />P O , Srale and ZIP CoOe <br />CANON CITY CO 121 -08 1 <br />Postage <br />Canil~e0 Fee <br />Soeoai Deiive~y Fee <br />PesV¢~ed Delivery Fee <br />Peam Pece~P~ Snowing <br />ro 'Nnom & Dale Dehvmetl <br />aew~n neceiPr Snaw~ng io Wnom, <br />Dare, an0 /tltl~essee's 4tltlress <br />iOiAl Pos~age ~C p. p <br />6P y <br />B Fees <br />Postmark or D ~ ' <br />. 1 <br /> <br /> <br /> <br /> ~, <br />1 e4 f_e~ - • <br />°o SENDER: <br />P .Compete ilemat anNar 2lor eddiaonel servitee.. <br />m •(,omplele items 3, 49, and 4b. <br />m • Pdnl your name and address on the reverse at Ihia form ao Nat we can return tNa <br />card to you. <br />.Attach mia form to the horn of Iha mailpiece, or on the beck if apace does not <br />~ pertnil. <br />•Wdfe'Aetum Aecsipl Aequasled' on the mailpiece Delow the article number. <br />.The Return Receipt will show to whom the enitle was delivered end the date <br />~ delivered. <br />0 <br />v 3. Article Addressetl to: <br />S <br />a MR .TOHN P ARY <br />FREMONT PAVING AND REDI-MIX INC <br />rn P 0 BOX 841 <br />CANON CITY CO 81215-0841 ry <br />z n <br />5. <br />~ 6.' <br />O <br />a <br />n <br />PS <br />1994 <br /> <br /> <br />.~ <br />tn71 <br />(.t7 <br />N <br />~_ <br />At <br /> <br />N <br />.i <br />~n <br />CD <br />n <br />I also wish to receive the ' <br />following services (loran <br />extra fee): <br />' <br />1. ^ Addressee <br />s Address •Z <br />2. ~ Restricted Delivery y <br />Consult postmaster for tee. a <br /> ~ <br />mbar <br />942 596 ~ <br />Ipe <br />d <br />I ®Certified ~ <br />'ai! ~ Insured <br /> <br />for Fdercharxlise OCOD A <br />i ry <br /> o' <br /> >+ <br />Address (Only 1l requested ~ <br />18Id~ t <br /> l- <br />
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