PERMFILE115747

• Permit No: M1977057
• IBM Index Class Name: Permit File
• Doc Date: 3/5/1978
• Doc Name: AFFIDAVIT
• Media Type: D
• Archive: No

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~ SENDER (omplar ttems L :, anJ t.
Add your sddms in the "RETURN 70" spur on
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1. The following service is requested (check one ).
®Show to whom and date delivered............ IS/
Show to whom, date, & address of delivery . 35~
j ~ RESTRICTED DELI\'ERl'.
Show to whom and date delivered........... 65(
RESTRICTED DELI\'ERl'.
Show to whom, dart, and address of deliver 85~
Z. ARTICLE ADDRESSED TO:
Butlers, R.A.
Great Divide Rt. Box 35
Craig, Colorado 81625
3. ARTICLE DESCRIPTION:
REGISTERED NO. CERTIFIED NO. INSURED NO.
942706
(Always ebtaln algnatura o/ adOrraaea or agent)
7 have received the article described above.
SIGNATURE ^ Addressee ^ Authorized aeent

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DATE
OF
DELIVERY
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DDRES (Complala only r raqu t "~~ ,~
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6. UNABLE TO DELIVER BECAUSE: LERK'S
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LOP 19 303156
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~ SENDER f.~~mplrK urm; I.:, aml 1.
Add your sddrm m the "RETURN TO" rraar on
Irvr1K.
1. The following service is requested (check one).
® Show to whom and date delivered............ I5F
Show to whom, date, 3 address o! delivery.. 35(
RESTRICTED DELI\'ER\~.
Show to whom and date delivered ............ 65y
RES'f'RI(:TED DELI\'ERl'.
Show to whom, date, and address o! deliver 85(
Z. ARTICLE ADDRESSED i0:
F.C. Estey
738 Washington Street
Craig, Colorado 81625 _
3. ARTICLE DESCRIPTION:
REGISTERED NO. CERTIFIED NO. INSU
RED NO.
I
942708
(Alwrys obbin signature o1 aderesaea or gen0
i have received the article described above.
SIGNATURE ^ Addressee ^ Authorized aRenl
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DATE O
OELIVERY
PO MARK
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5. ADDRESS (COmpbb only it raqussbdl
6. UNABLE TO DELIVER BECAUSE: CLERK'S

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INITIALS
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;± GOP 191FG 103-t56 i