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PERMFILE113336
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PERMFILE113336
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Entry Properties
Last modified
8/24/2016 10:09:30 PM
Creation date
11/24/2007 10:27:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004009
IBM Index Class Name
Permit File
Doc Date
4/29/2004
Doc Name
Proof of Mailing
From
WSI
To
DMG
Media Type
D
Archive
No
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1 i <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and atldress on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />A. Signatur <br />- AQ ent <br />X ~ J. ••r ddre$see <br />B. ~RJeceived by (Printed Name) ! C. Date of Daliverv <br />i, /,.-.r <br />D. Is delivery address di8erent from item 17 ^ Ves <br />If YES, enter delivery adtlress below: ^ No <br />3. Service Type <br />~Lertified Mail ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ~ yes <br />2. Article Number <br />(transfer rrom service label) 7002 ~86~ 003 4827 6274 <br />PS Form $811, August 2001 Domestic Retum Receipt tozsssaz-ht-tsw <br />^ 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 retum the card to you. <br />^ Attach this card to the back of the mailpiece. <br />or on the front it space permits. <br />1. Article Adtlressetl to <br />1. Article Addressetl to <br />STEVEN P. JOHNSON <br />6860 WELD CO Rd 1 <br />LONGMONT, CO 80504 <br />KENNETH G & CHRIST[ ANN <br />NEUENS <br />354 WELD CO RD 16 1/2 <br />LONGMONT. CO 80501 <br />A. Signature ~ <br />X /" ^ Agent <br />L~.~ I ^ Addressee <br />B. Received by (Printed Name) C-]Qatd yf Delivery <br />D. Is delivery address tlifferent fmm item 17 V Yr. <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />L~Bertifietl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhandise <br />^ Insured Mail ^ C.O.O. <br />4. Restricted Delivery? (Extra Feel ^ Yes <br />2. Article Number <br />(rmns/ar from service label) _ _ 7002 086 003 4827 8551 <br />PS Forth 3811, August 2001 Domestic Return Receipt to25sst>z-h4t540 <br />^ 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 mailpiece, <br />or on the front if space permits. <br />1. Article Addressetl to: <br />HELEN L BRYANT <br />2005 JAMES DR <br />LOVELAND, CO 80538 <br />A Signature <br />X ^ Agent <br />'~`~'^-~ "'•^f C-Cis"~ ^ Addressee <br />8. Received by (Punted Na e) C_Data of Delivery <br />D. Is delivery address diNerent from item 17 ^ Ve; <br />II VES, enter delivery address below: ^ No <br />3. Service Type <br />~rtified Mail ^ Express Mail <br />^ Registered ^ Re[urn Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCted Delivery? (Extra Feel Q yea <br />2. Article Number <br />(i}ansler from service /aben 7pp2 0860 003 4827 8568 <br />PS Form 3811, August 2001 Domestic Return Receipt tozsssaz-to-tsdo <br />
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