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REP09876
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REP09876
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Entry Properties
Last modified
8/24/2016 11:39:23 PM
Creation date
11/27/2007 12:15:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979131
IBM Index Class Name
Report
Doc Date
8/9/1988
Doc Name
110 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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N <br />~. <br />•S same _ Ira, and comylm itama <br />and.a. <br />Put YaLr eddraM In xlli° a <o tlP thin wlll ryvent to <br />carat 'm aatnp remrnW so ou. <br />r r tl at x as are avnunu. cd <br />Porten ~nde Ifat addn10na1NrvMla ragdaafl . <br />1. ^ bsv io whom da1MrW, dW, aPtl addrmWUdtlreM. z, n Raatr)cad Danv«v _ <br />t (Exrra charde)t horde <br />~-- ~ ~ ___ <br />3. Art to: 4. Article nm r <br />, <br />-~ P ~ ~7 t a <br /> <br />~~ Type of arvia: <br />~t r~~ (~ p <br />g <br />~ Repisterad ^ Insured <br />^ <br />~ <br />W <br />OrOt~L, COD <br />rtified <br />_ <br />~~ ^ExpresaMafl <br />~IDb ~ <br />~`~ <br />~ f <br />1 addresses <br />Alweya obtain sipnaturo o <br /> or epant end Dj4TE D¢LI V ERED. <br />ddr ses 8. A dressee's Addrss (ONLY! <br />, ~rjquetrrdandfeepaid/ <br />LL~~ <br />e- pent <br />x <br />s livery <br />!S 1 Mar. 1987 • STIC NETUNN RE <br /> <br />MINED LAND RI AMpTION bIVi510N N D Q () ~'6 4 3 <br />1313 Sherman <br />Denver, Colorado 60103 <br />(303j 866-3567 Dare ~~ `~ __ ~ s~_ <br />RECENED (~,, ~ $ DO <br />FROM ' / ~~~A~ ~l~_~j~) <br />%1 DOLLARB <br />FDR Qn n n.. ~ ~1 - ~ _ ( ~ ~ ~-~ y ~ CHECK <br />^ M.D. <br />AMOUNT OF ACCOUNT. .. ...$ <br />AMOUNT PAID .. ........ ....... $ `~/~J/~~/y,~/~-IJJJ~~~~~f~_ (n' ~~10 ~' <br />BALANCE DUE ............ ..... $ BY 9?. /nC 1 7~J~JCV ) <br />t~F K7->!'3 X11- i~? /3/ <br />P 765 476 268 ` <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE CUVEPAGE PflGVIUEU <br />NOi FOR INiEflNAiIUNAI MAIL <br />ISee Reversal <br />Sent low{ <br />Scree antl No <br />PO Sta antl ZIP Code D~ <br />p D ~ 3 <br />Postage S <br />Candied e <br />Special DeNVery qe¢I I+ 3 19 8 <br />Resmcted Delvei4{1~'~E~ ~gf ,il <br />Rewn{~.~.~A~Adl~ 10~ <br />to whom and Date,„, ab,,elrvered 1`J l:it Old <br />Retwn Receipt showing to whom. <br />Date. and Address of Delivery <br />TOTAL Postage and Fees 5 <br />Po5lmarM or Dale <br />m <br />OI <br />c <br />E <br />u <br />u <br />P <br />L <br />~~ <br />~: <br />J. <br />G: <br />4J <br />ri) <br />7 <br />trl <br />rl <br />it <br />a <br />9~ <br />~l <br />~' <br />C~ <br />wn <br />O <br />0 <br />W <br />
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