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REV104715
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REV104715
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Entry Properties
Last modified
8/25/2016 1:16:07 AM
Creation date
11/22/2007 1:20:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977002HR
IBM Index Class Name
Revision
Doc Date
11/21/1995
Doc Name
MUNROE CONVERSION APPLICATION PN M77-002HR
From
COLO LIEN CO
To
DMG
Type & Sequence
CN1
Media Type
D
Archive
No
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n. ^ , ... <br />" SENDER: m SENDER: <br /> <br />y Complete items 1 andlor 2 for addmonal services. V also wish to receive the 1@ <br />y Complete items 1 and/or 2 for atltliuonal serves <br />d • ComVletc items 9, antl as 8 b. fOIIOWIng serviee5 (for an extld N O • Compete items 3, antl 9a & b. <br />~ • Pnnt yow name and address on the reverse of this form so that we can feel: ~ ~ Print your name and address an the reverse or this form so mat we can <br />~ retun this card io you <br />` • Attach this form to the front of the meilpiece, or on rho back d space <br />1. ^ Addressee's Address C <br />y • return this cord to you. <br />I ` Atteoh this form to the Irons of the mailpiece, or on the back d space <br />does not permn. <br />m does not permit. <br />Write "Return Recei t Re <br />p Quested" on the ntailpiece below the article number <br />t <br />2 ^ Restricted Delivery <br />G <br />, « Write "fleturn Receipt Requested" on the mailpiece below the article number <br />. <br />. <br />• The Return Receipt will show to whom me article was tleliveretl antl the date V • Tha Return Receipt will show to whom the anicla was delivered end the date <br />• <br />o delivered Consult ostmaster for fee. m o delivered. <br />I also wish to receive the <br />following services (for an extra ~ <br />feel: ~> <br />1. ^ Addressee's Address N <br />2. ^ Restricted Delivery ~~ <br />~ 3. Article Addressed to: 4a. Article Number ~ 0 3. Article Addressed to: 4a. Article Nt <br />m ~ ~ m <br />46. Service Type ¢ ' E Timnath Farms, Inc. ab. servii:e T <br />c Fort Collins Conservation ^ Registered ^ Insured i p ^ Registered <br />ATTN: Mr. Harold R Roth <br />w District ^ Certified ^ COD 5 ', y ^ Certified <br />to ~" ' w P.O. Box 217 <br />w 1415 N College #3 ^ Express Mail ^ Return Receipt for ~ I W ^ Express M <br /> Merchandise Ti <br />th <br />CO 80547 <br />c Fort Collins, CO 80524 w ~ c <br />7. Date of Delivery mna <br />, 7, Da i <br /> <br />a <br />° OCT 2 3 i9~ > t °a <br /> 5. Signature IAddre~seel7 <br />- <br />~y ~ 8. Addressee's Address (Only if requested Y ~, ¢ <br />and fee is paid) 5. Signature (Addressee) 8. Add <br />and <br />~ ~ <br />~ <br />. ~~ i > <br />x 6. Signature IA~entl r ~ ~ 6. Si nature (Agent) <br />~ p <br />0 ~ <br />0 / <br />y PS Form 3811, December 1991 4U.S. GPO: IBBJ-35sa11 DOMESTIC RETURN RECEIPT i y PS orm 811, December t991 au.s. GP0: 1eos-a52au DOMESTIC RETURN RECEIPT <br />C- <br />V <br />N <br />d <br />i <br />u <br />L <br />c <br />0 <br />u <br />v <br />a <br />0 <br />U <br />a <br />0 <br />a <br />2 <br />'o <br />y <br /> - - - --- - <br />' <br /> ~. <br />tp SENDER: <br />ENDER: <br />1 a150 Wlsh t0 reC01Ve fh0 • Complete items 1 end/or 2 for edtlitidnel services. <br />~ y <br />Complete items 1 anNOr 21or additional services. m Complete items 3, end 4e 8 b. <br />•Complete items 3. aa, and 4b. fGIIGWIn SBfVICes for an <br />g ( ~ ~ Print your name end addrasc on the reverse of (his form BO Ihel we can <br />•Pdnl your name and address on the reverse of )his form so Ihal via can return (his extra f6el: ~ m return this card to you. <br />card to you <br />~ ~ <br />Attach mid form to the Irons of the mailpiace, or on the back if space <br />• Attach 4his lotm to the trort dt Ih0 madpiece, or on the back i1 space does not <br />t 1, ^ Addressee's Address ~~ m <br />I does not permit. <br />permi <br />. <br />• Wdla'Rerurn gecerpf Reques(etl' on Ina mailpiece below the article number. 2. ^ RBStriCled Dellve <br />ry ~ <br />fA ' Write "Return Receipt Raquastetl" an rho mailpiece below rho article number. <br />Lm <br />i <br />h <br />d <br />•The Ralurn Receipt will show to whom the adide was delivered and the date . <br />. <br />var•d and t <br />e <br />ata <br />i The Return Receipt will show to whom the article was tlal <br />deliyaretl Consult postmaster for tea. ° i o aeliyeied. 4 A <br />Lorimer County Clerk and <br />Recorder <br />PO Box 1190 <br />Fort Collins, CO 80522 <br />i <br />ru ~r CJae•k- 1 ~~~ Crn <br />leceived By: (Print Name/ <br />4a. Arbcla Number ¢ j °m 3. Article Addressed to: e. rt <br /> m <br /> E I n 4b. Sel <br />4b. Serv~9 Type o I o <br />Union Pacific Resources ^ jiegi <br />^ Registered ^ cerueed x I ~ <br />°'I ~' <br />ATTN Robert See Mgr L&IM /~YLI{~r <br />B" <br />I also wish to receive the <br />following services Ifor an extra <br />feel: 'Z <br />1. ^ Addressee's Addr• n <br />N <br />2. ^ Restricted Delivery o <br />Consult ostmaster for fee. dui <br />.le Number ~D ~p a <br />777 70 <br />ice Type o <br />tared ^ Insured <br />red ^ COD ~ <br />.q <br /> ^ Express Matl ^ Insured e <br />'m <br />° N <br />W <br />~ ~ i ~ <br /> <br />BOX 7 <br />P <br />O Return Recel t for ~ <br />Express Meil ^ P <br />Merchandise <br /> ^ Return Receipt for Merchan6se ^ COD <br />° . <br />. w <br />7. Date of Delivery <br />~~ I 7. Date of Delivery ~ a Fort Worth, TX 76101-0007 ~~ o <br /> r~ <br />? <br />bsviri ' / ' I In.i:l <br />• <br />' ~' Z 5. Signature (Addressee) 8. Addressee's Address (Only if requested Y <br /> 8. Addressee <br />s Address (Only it requested ~ ~ end lee is paid) m <br />innature~ (Addressee or Aaenfl <br />X ~, <br />PS Fnrm 381 <br />„t <br />1, Dnrnmhnr 174 <br />and !ee is paid) i F <br />I- ~ 6. Signature IA <br />f > PS Form 38 1, Dec er 1 1 vu.s. GPO: tve~ux-itx D <br />f1DmPStir. RFtllrn Rr=r.Pi~t !-' <br />is <br />ostmaster for fee. m <br />c <br />_ Y <br />-~-„ <br />^ Insured ~ <br />^ COD ~ <br />^ Return carps for ~ <br />Mer ndise G <br />0 <br />~ ' <br />~+ <br />dress (Only iF requested Y <br />m <br />f <br />F <br />RETURN RECEIPT <br />
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