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PERMFILE120166
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PERMFILE120166
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Entry Properties
Last modified
8/24/2016 10:19:00 PM
Creation date
11/25/2007 8:16:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001107
IBM Index Class Name
Permit File
Doc Date
1/25/2002
Doc Name
NCCI PIT 1 FN M-2001-107
From
R C ROLLIN CONSULTING
To
DMG
Media Type
D
Archive
No
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,r <br />Complete items 1, 2, and 3. Also complete <br />Rem 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 />Article Addressed to: <br />STEVEN 8 LEONA MAYO <br />PMB 144 I~ <br />AUSTIN BLUFFS PKWY <br />COLORADO SPGS CO SOM 8 <br />A. Race' ed by (P Pnnt Clearly] B. Date o/ <br />~ <br />~ r' C <br />C. Signature <br />X <br />O A~ <br />^ Adc <br />D. Is tlelivery address different from Mem 17 ^ Yes <br />If VES, enter tlelivery atltlress below: ^ No <br />3. Service Type <br />sf~ertified Mail O Express Mail <br />/_^ Registered ^ Return Receipt for Me¢handise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ~ y~ <br />Ankle Numl»r (Copy horn servi I <br />~nG~ / ~~Iooo3a-537~a~3 <br />Fonn 3$11, July 1999 Domestic Return Receipt wzs9s9aMn]tre <br />r <br />..omplete items 1, 2, and 3. Also complete <br />item 4 if Restrcted 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 />Article Addessed to <br />A Received by (Please Print C/eaAy) ~ B. <br />C. Signet re <br />X ,~ ,~ //~,~/~ ~rkvAgent <br />A-y yr Atldre <br />D. Is tlelivery address Merenvaom item 17 ^ Yes <br />II YES, enter delivery address below: ^ No <br />DENTON 8 <br /> <br />NANCY DYKES a. service Type <br />11527 WELD CTY RD 18 /~Gertilietl Mail ^ Express Mail <br />FORT LUPTON CO 80621 ^ Registered ^ Return Receipt for Merchandise <br /> ^ tnturetl Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Fxba Feel ^ Ves <br />An~"~~ oC~yiC'~ ~~ a ~ a-9 3 ~ '~ ~C~ 7 <br />Form 3811, July 1999 Domestic Return Receipt f0259i99-M~1]99 <br />^ Complete Rams 1, 2, and 3. Also complete <br />ttem 4 R Restdcted Delivery is desired. <br />^ Pdnt 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 ii space permts. <br />1. Article Atldrsssed to <br />lvlER1T EPJERGY <br />C/0 LOGAN 8 FIRMINE <br />333 W FIAMPDEN AVE 740 <br />ENGLEWOOD CO 60110 <br />2. Article <br />A Repceived (Please Pdnt Clearly) B. D,Ma~,o~t DalWer <br />/~ -~/rr-sinL 7~/' S~ <br />C. Signature <br />X ^ Agent <br />(/lJ~J17tiC ~' 14dtlresse <br />D. Is deivery atldress diRererit born Item 17 ^ Yes <br />If YES, enter delivery address below: ~No <br />3. Service Type <br />~art~etl Mail ^ Express Mail <br />^ Registered ^ Ratum Receipt for Ml~is <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />PS Forth 3811, July 1999 Domestic Return <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 ii 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 Atltlressetl to <br />TOP OPERATING CO <br />7500 W MISSISSIPPI AVE 83 <br />LAKEWOOD CO 80226 <br />2. Article <br />PS Form 3811, July 1999 <br />102595-0PM-095'. <br />A. Received by (Please Print CleaAy) ~ B. Data of Deliver <br />c -i9naru <br />__ ^ Agent <br />~ ^ Address, <br />D Is del' ,~tldress tlifldent from it ^ Yes <br />h YES, enter delivery adtln~s below: <br />/`~~"'~. <br />/(J ~ <br />3. S ice Type ,~~ <br />~Certifetl Mail 0 <br />^ Registered ~~ Return Reel for Merchandi: <br />^ Inwrad Mail 'C9. <br />4. Restdcled Delivery? (Extra Fee) ^ Yes <br />37 ~ 35~ <br />Domestic Return <br />10259599-M-1]B <br />
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