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2003-04-04_REVISION - M2001090
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2003-04-04_REVISION - M2001090
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Entry Properties
Last modified
6/15/2021 2:13:58 PM
Creation date
11/21/2007 4:57:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001090
IBM Index Class Name
Revision
Doc Date
4/4/2003
Doc Name
Amendment Application
From
Lafarge West Inc.
To
DMG
Type & Sequence
AM1
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 your name and address on the reverse <br />so that wa can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Adicle Addressed to: <br />Colorado Dept of Transportation <br />222 South 6th Street, #317 <br />Grand Junction, CO 81501 <br />Attn: Right-of--Way Section <br />A. Received M (Please Pnnt <br />C. Sigpa~ure <br />`( hfv~ Agent <br />J( V ~ ^ Adtlre <br />D. Is delivery atldress di event imm item ^Ves <br />If VES. enter delivery address bebw: ^ No <br />service rvce <br />-BrCertified Mail ^ Express Mail <br />^ Registered '$'Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (E#ra Fee) ^ Yes <br />2' 7!)~2 0460 t]1703 9920 8969 <br />PS Form 3811, July 1999 Domestic Return Receipt <br />^ Complete trams 1, 2, end 3. Also complete <br />Neat 4 M Restricted DeOvery is desired. <br />^ PfIM your name and address dlt the reverse <br />so that we can return the card to you. <br />^ Attach th(s card to the bark of the mailpiece, <br />or On the hoM if space permits. <br />1. Artkle Addressed f0 <br />102595-99-M.1]99 <br />^ AgeM <br />B. deceived by (Rimed Name) ~ C. OPDa Qt Delivery <br />D. gdelNeryeddressdiflemM ken tram tp Yes <br />a YE3, enter delivery address bebw: ^ No <br />Cesar Sandavol Rev. Trust I <br />13800 SW 102"d Avenue a. service type <br /> <br />FL 33176-6608 <br />i <br />i ~Cer6fied Mail ^ F~ress Mail <br />di <br />h <br />, <br />am <br />M an <br />se <br />~ Registered ~Retum Receipt for Merc <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Del'wery? (Exrm Fee) ^ Yes <br />2. ArticleNUmber 7002 ^460 X003 9922 9285 <br />(rmr,ster /rom <br />PS Form 3811, August 2001 Danestlc Return Receipt 2ACPRI-03-Z-0995 <br />1 I • r • r <br />^ Complete items 1, 2, and 3. Also complete A. sign m <br />Item 4 if Resmcted Delivery is desired. ^ Agent <br />X ~ <br />~ <br />^ Print your name and address on the reverse ~' ^ Addressee <br />F,t <br />t±o that we Can return the card to you. B. Rimed by (Pn'nted Name) C Date of Delivery <br />^ Attach this card to the back of the mailpiece, ~ ~ ~. <br />or on the front if space permits. <br /> D. Is delivery address different from Item 1? ^Ves <br />1. Ankle Addressetl to: g VE3, enter delivery address below: ^ No <br />Randy Rowe <br />d <br />R <br />B <br />oa <br />ay <br />1401 North Grcen <br />Lake Forest, IL 60045 s ~ cerype <br />'~Cerefrad MaN ^ Express MaH <br /> ^Reg6@red ~4ietum Receipt for Merchandise <br /> ^ Insured Mail ^ C,O.D. <br /> 4. RestdUed Delivery! (Extra Fee) ^ Yes <br />2. AnideNumber 7002 0460 ^0173 992^ 8914 <br />(Transfer Irom s_..._...___., <br />PS Form 3811, August 2001 Domestic Realm Receipt ?ACPRI.a;}}Zd9a5 <br /> <br />
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