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

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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provided.
Do not use tar International Mail /See reverse)
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State of Colorado
Slreel d Number
1375 Sherman Street
Post Otlice, State, d ZIP Cade
Denver Co 80203
Postage $ ~
Certified Fee ~ 0
Spedal Delivery Fee
Restdaed Delivery Fea
Return Receipt Showing (o (J
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m SENDER:
V Complela items 1 enNor 2 for additional seances. I a150 Wish t0 fBCBive }hB
x •Complela items 3, 4a, and 4b. {ellOWing servICBS ({er an
m •Pdnt your name and address on the reverse of This farm so that we tin return This extra fee
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•Attach Ihis form to the Iront of the mailAiece, or on the bark d space does not
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3. Article Addressed to:
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m State of Colorado. -.
_., P 500 41 7 558
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1 375 Sherman tSt , '' .- y~ ~ 4b ~vicerype
Denver, Co 80203 p-Registered f7 Certified ~
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0 7. Date of Delivery
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5. Received By: (Print Na O. G[PT
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Ps f=orm 3811, December 1994 Domestic Return Receipt