PERMFILE102605

• Permit No: M1997011
• IBM Index Class Name: Permit File
• Doc Date: 4/9/1997
• Doc Name: BACULITE MESA PIT FN M-97-011 SECOND ADEQUACY REVIEW
• From: LLOYD V BARNHART
• To: DMG
• Media Type: D
• Archive: No

P 500 411 564
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
On not uca fnr Inmmonn..el r,.r~a rc .... .........._~
Sent to - - -~
Slreel8 Number
747 12th St
Post Ollice, Stale, d ZIP Code
Boulder Co
Postage $ 3a
Certified Fee , ~
Spedal Delivery Fee
Resldged Delivery Fee
Relum Receipt Showing to
Vfiom b Dale Delivered
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Rehm Receipt SMei
bale, 8 Address '
TOTAL Po a)?¢' ees O .Sa
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;; SENDER:
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9 ' ~~COmplete items
1 and/or 21or atldilional services. I a150 wish to reCeiVO the
x •COmplele items 3, 4a, end bb. }OIIOWing SBNICes (for an
b • Pdnl yoar name and atldress on the reverse of this loan so that we can return Ihis
' extra fee):

~ ~ card to you.
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•Adach this loan to the trom of the mailpiece, or on the back it space does nol
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t, ^ Addressee's Address d
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y • Wdte'Helurn ReceipfRequestetl'on Iha mailpiece below the article number.
2, ^ Resldcted DBlivery ~
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•The Retum Receipt will show to whom Iha adicle was delivered and the date
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a 3. Article Addressed to: 4a. Article Number d
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°' Of7EGA P 500 411 564 ~
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747 12th St 4b. Service Type
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~ BOUlder
CO 80302 ^ Registered )[] Certified ~
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^ Retum Receipt for Merchandise ^ COD N
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0 7. Date of Delivery f ,
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~ 5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~
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n and !ee is paid) t

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Ps Form 3871, December ], 94 Domestic Return Receipt