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PERMFILE106326
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PERMFILE106326
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Entry Properties
Last modified
8/24/2016 9:59:04 PM
Creation date
11/24/2007 1:37:56 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997089
IBM Index Class Name
Permit File
Doc Date
12/17/1997
Doc Name
RECEIPT OF CERTIFIED MAIL
Media Type
D
Archive
No
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<br />Z 239 764 589 <br />in <br />rn <br />Q <br />O <br />to <br />M <br />li <br />N <br />a <br />~_~ <br />7. Dase1 De~ry ~ j <br />/C Ti <br />5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~ <br />end lee Gs paid) <br />g 6. SignaNre: (Adtlressee orAgenQ <br />i. ~( <br />a PS Form 81 , Decemb r lgea M-97-o89 Sto'ne5s5r~euna _ Domestic Return Receipt <br /> <br />z: S <br />DEiJVtF~ OFFICE <br />PUBLIC FILE COPY <br />FILE:,y-9~-o89 <br />SITE: stoic G~al~f ~,t <br />o SENDE . <br />V •COmplete items 1 and/or Z lOr adtlidOnal eervicea. 18150 Wish t0 rBCBIVO fhB <br />m •Complete items 3, 4a. and 4b. }OllOwing sBMCBS (}Or en <br />~ • Print your name and eddraea on Ne reverie of Ihia brm so that we can return thin B%tra 1eB): <br /> <br />~ card to you. <br />•Aaach Ihia lortn to the horn al the meilplace, or on the Dack if apace does not } , ^ AddfB55BB'S AddrBSs ~ , <br />` <br />c pertnil. <br />•Wnte'Rerum R•ceipf Requasred'on the mailpi•n below the article number. 2. ^ ReStdcted OBlivery ~ <br />y ~ <br />~ •The R•lum Receipt will show to wham the anise was tlelivered and the date a <br />~ delivered. Consult postrnaster for fee. <br />o <br />3. Artcle Addressed to: <br />4a <br />c^ ?u <br />be <br />( <br /> <br />u z <br />~ <br />7~ ~ S~ <br />.c JJ E <br />~ <br /> <br />Montezuma County Commissioners 4b. SeMce Type <br />m <br /> 109 West Main Street, Room 302 ^ Registered ~( Certified ~ ' <br /> ^ Express Mail ^ Insured 5 . <br /> COrteZ, C~ $1321 ~(Retum Receipt for Merchan?se ^ COD <br />~s ~. <br />US PosW Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />f)n nnr uew fnr Infwmwfinml aAail /Cm .overeat <br />Sent to /~ /, <br />A% <br />' <br />t <br />~ <br />L. <br />Cn <br />e JM0. C.cun <br />.wMILSIo <br />Stree18 Numher <br />0 0 :t M<•r~ sf Rat 3oi <br />Post OHme Stale, 8 ZIP Cade <br />r ~'es o 13Z <br />PasWge $ j Z <br />Cenifed Fee / 3 S <br />Spedal Delivery Fee <br />Restricted Delivery Fee <br />Retum Receipt Shovnng to <br />Whom 8 Date De' <br />Realm ReceipSSTOap{gtn <br />' / ~ <br />Oale, d /dtlresRe <br />s I~etS, , <br />F , <br />TOTAL PodageB Fees l' $~`~ <br />77 <br /> , <br />POSDnark a Date ~ 1 _ i <br />v\ 1~J7 ~' / <br />~ ' <br />c <br />/ <br />. <br />. <br />
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