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2005-05-12_REVISION - M2000018
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2005-05-12_REVISION - M2000018
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Entry Properties
Last modified
6/15/2021 2:45:04 PM
Creation date
11/22/2007 1:16:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2000018
IBM Index Class Name
Revision
Doc Date
5/12/2005
Doc Name
Amendment Application
From
Cheyenne County
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 we can return the card to you. <br />^ Attach this card to the back of the mailplece, <br />or on the front if space permits. <br />1. Article Atltlr&4sed [O: <br />~.l.S.-arrn+d, ~orp~s c~ ~i~~n2er5 <br />~,:~ ++l~e+cm, C0 ~l013~(9gb l <br />A Signature <br />X ^ Agent <br /> ^ Atltlressee <br />B. Recelvetl by (Pdnted Name) C. Date of Delivery ' <br /> <br />D. Is delivery address diRerent hom kem 17 ^ Yes <br />If YES, enter delivery address below: ^ No , <br />3. SBrvlce Type , <br />CertHled Mall ^ Express Mall <br />O Registered ^ Retum Receipt for Merchandise <br />O Insured Mall ^ C.O.D. <br />4. Restricted Dellveryt (Exha Feel ^ Yes <br />2. Article NumDe <br />(Tians(er rmm, 7QQ4 2890 0003 8654 0392 <br />PS Form 3811 ,August 2001 Domestic Return Receipt 102595-02-M-1540 , <br />^ Complete items 1, 2, 3. Also complete <br />item 4 if Restricted Delive desired. <br />^ Print your name and address o he reverse <br />so that we can return the card to <br />^ Attach this card to the back of the ma act <br />or on the front if space permits. <br />1. Article Atldressed to: <br />Colorado ~t. vDN~l~h <br />~~'tr Quc;~llt~1 Dt~tStor~ <br />Z-I~O CY~errv, Clreef4 ~`. ~l'~ <br />3~e~c~ ~- a J <br />~2rti~,~~ , C'O ~~~.' ~ <br />A SlgnaNre rl u ant ; <br />X Addressee ~ <br />8. Received by (Printed Name) G. Date of Delivery <br />D. Is delivery address Brent hom item 17 ~ Yes <br />If YES, enter very atldress below: ^ No <br />3. ~~\~~\Sennnnnnrvice Type <br />~Rlfled Mall ^ reas Mall <br />Registered ^ ReN ecelpt for Merchandise <br />^ Inauretl Mall ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number 7Q04 2890 0003 8654 0385 <br />(riansler ham serve <br />Domestic Return Receipt 102595-02 M 1 <br />PS Form 381 ugust 2001 <br />
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