2003-07-07_REVISION - M2001090

• Permit No: M2001090
• IBM Index Class Name: Revision
• Doc Date: 7/7/2003
• Doc Name: Proof of Notification Adjacent Landowners
• From: Lafarge West Inc.
• To: DMG
• Type & Sequence: AM1
• Media Type: D
• Archive: No

'`''~ ^ Complete items 1, 2, and 3. Also complete A.
item 4 if Restricted Delivery is desired. X
^ Print your name and address on the reverse
so that we can return the card to you. 0
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
G/o ~r~,l }.for--c~vl .~c~S
~-~~`~~r ~~~. `l ~o ~~4
(Pn'nted ryams) I C.

D. Is delivery address differentfrom item 17 ^ Yes
it YES, enter delivery address below: ^ No
3.
rtified Mail ^ Express Mail
Registered ^ Return Receipt for Merchandise _
^ Insured Mail ^ C.O.D.
"JG)`T'~ ~ 14. Restricted Delivery?(Extra Fee) ^ Yes
2. Article Number -7 / - /' /~/ ~1 //
(trans/er from service label) 1 ~~ ~ lG'~~ C~fC~Lt~ 7Q~ ~ ~Cr~'j'~
PS Form 3811, August 2001 Domestic Return Receipt 2ACPRI-03P-0081
^ Complete items 1, 2, and 3. Also complete A. Sign~gtre
item 4 ii Restricted Delivery is desired. X ~ ~ `y ^ Age
^ Print your name antl address on the reverse -~~ B~
so that we can return the card to you. R. Rec ' a by (Printed e) C. ate of I
^ Attach this card to the back of the mailpiece, ~ j
or on the front if space permits. G' 7~ ~,Se
1. Article Addressed tc: D. Is delivery address different trem item 17 ^ Yel
if YES, enter delivery address below: ^ No
MD,~~ Fv(~~ot~l,~;s I
~ ~, r~o~ ~7D $9~-
3. Service Type
~~ _ _ A ~..t ~S Certified Mail ^ Express Mail
QT ~ ^ Registered ^ Return Receipt for Merchandise
4~'7 ^ Insuretl Mail ^ C.O.D.
( 4. Restdcted Delivery? IExira Fee) ^ Yes
2. nrticle Number )~CCC r lG7o X03 70l ~ a8.~1
ians/er /rom ser»ce label
PS Form 3811, August 2001 Domestic Return Receipt ucPRl-113P<Oat
a
.-R
More Fern.(.. ~a-~l,E'
~ Postage S ,3
a
O CertiLed Fee
t• ~' ~ Postmark
Return Receipt Fee ' Here
R1 tEntlorsement Requiretl)
~ Restrictetl Delivery Fee
~ (Endosemem Required)
t7
p Total Postage 8 Fees $ {~, Z
~ SentTq /L!h_~..._.__/I_~_4/Ltd.h`._-7_'_/~~11rr..~.X-P1!~.~~'~..___...____
St Pr. NO.: oi~/~ / tO V
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r 5~c°n.nt..bo fi 5 ~ ~(1
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S Postage 5 , 3
rl
~ Certified Fee
r~ t _. Postmark
fTl (Endorsement Required) ',
O
p Restrictetl Delivery Fee
~ (Endorsement Requred)
O Total Postage 8 Feea $ 4.
r
Return Receipt Fee Here
~ Senr TO C~.~r ~1- /~
Street. No.: o1r Po`~NO... I1 L .... ................._.....
M1 Ciry,~F~t t~ S C.l../
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