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REP15454
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REP15454
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Entry Properties
Last modified
8/24/2016 11:44:59 PM
Creation date
11/27/2007 1:39:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982033
IBM Index Class Name
Report
Doc Date
12/5/1990
Doc Name
RECEIPT
From
MLRD
To
HI VALLY PAVING
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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MINED LAND RECLAMATION DIVISION N ~ Q O $ 8 rJ 2 <br />1313 Sherman <br />Denver. Colorado 80]03 DATE ~~- T B~c-- <br />(303) 866-3~7 $ eo <br />RECEIVED ~. I ). a~~r.w n.%e_~ <br />A~ DOLLARS <br />~-y ~t f~C~ECK <br />FOR ll/v~-- ~AQr ~ go~ _ ~ ~ S / ^ M.O. <br />ANnouNr DF AccouNr...........$ ~`Ha~ ~QU <br />AMOUNT PAIO ...................$ <br />BALANCE DUE ....... ...........$ ~ <br />MINED LAND RECLAMATION DIVISIOP~ N ~ 0114 42 <br />1313 Sherman, Room 215 <br />Denver, Colorado 80203 DATE ~ Z - ~ ~ 'I9 ~~ <br />(303) 866-3567 A ~I $~~ <br />RECEIVED (~_ A ~~ M ~I r /I'/ <br />FROM • xr,l ` ` J/~t <br />rJG <br />G <br />22 ^ CASH <br />FOR ~ ~ ~ a ' J~ .3 ~O M ~CK <br />AMOUNT OF AC OUNT...........$ f_ n'ou~ <br />AMOUNT PAID ...... . ............ $ KJ ~• JU <br />BALANCE DUE .............. ....$ BY <br />3. •Article <br />~L ~10.~'Qi,~ ~~L~c"~ <br />i~~ rG . ~~ x 5s 4 )` <br />X <br /> <br />lrylpe or aerwce: <br />L ~ Re <br />istered <br />^ Ins <br />r <br />d <br />g <br />I ~L Ceidified u <br />e <br />^ COD <br />^ Express Mail ^ Return Recoil <br /> for Merchant <br />Always obtain signature of addressee <br />or agent end DATE DELIVERED. <br />requeTUd <br />.. ..... ~ •.. .,o.. - ~, ~. v.r.v. rood-crc-oo~ VVmCJ n{. HCrUM1Y Mt{a1Y1 <br />1. Show to whom deliveretl, date, and addressee's atldress. ~Lf-Restn`cted Qellvery <br /> lErrrn charge) !Elva charge) <br />3. Article Addressed to: 4. Arucle~Number.. <br /> --- - -- P?: ~(" 43 <br /> Mr. Bi 11 Malauff Type o Service: <br /> Hi. Valley P2Vln9 ^Registeretl ^Insured <br />ili <br />~~ <br />C <br />d ^ COD <br /> BOX 897 en <br />e <br />, <br />^ Ezprlss Mail ^ Return Receipt <br />for Merchandise <br /> Alamosa , CO 81 1 ~ 1 <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Si attire - Ad ressee B. Addressee's Address (ONLY rJ <br />X requested (]nd fee paid! <br /> n <br /> <br />6. <br />Ignature -Agent 7 <br />p D ,~ $ <br />/ <br />7 <br /> <br />X ~'j <br />/ <br />^ <br /> <br />7. <br />Date of Delivery ~~^~~ ~/C~/ <br /> g/10 <br />P 767 44s 782 <br />RECEIPT FOR CERTIFIED MAIL v <br />NO INSURANCE COVERAGE PROVIDED I <br />NOT FOR INTERNATIONAI MAIL <br />!See Reverse) <br />Sent 1 ~ , n <br />V' <br />$tr et antl No. <br />P O. S ate and ZIP Code <br />(~ ) <br />~t)~ <br />( Q/ <br />Postage <br />Cenllled Fee <br />Speual Delivery Fee <br />Reslr¢te0 Delivery Fee <br /> <br /> ~ <br />Return Rece1Dl showing <br />to whom and Date Dellveretl <br />Return Reoelpf sh8wln9 to whortS, <br />D <br />le <br />Add <br />1 D ~ <br />a <br />, an <br />ress 4 <br />elivery - <br />TOTAL Pps~ge and Fees 5 I <br />\\ ~ •cTU <br />Postmark or e <br />~:. <br />~ ~ <br />ga-o33 Nov m-qo -047 <br />P 767 449 393)~DG <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSDRANCE COVERAGE PPOVIDFA <br />NOT FOR INTERNATIONAL MAIL <br />/See Reverse) _ Z_ <br />' Mr. Bill Malauff <br />Hi Valley Paving <br />Bax 847 <br />' Alamosa, CO 81101 <br />'oslage <br />:enified Fee <br />ipec~al Delivery Fee <br /> ResnlCled Delivery Fee <br /> Return Receipt sJlowing <br /> <br />r to whom and Oate Dehybed <br />j Retum. Receipt snowln to canon <br /> Date. antl Address of (~ery <br />I <br />j <br />TOTAL Poslagc~in e ~ <br />C <br /> <br />i Postmark or Date <br />t <br />r <br /> <br />f <br />5 <br />57 Td <br /> <br />I <br />7 <br />7 <br />7 <br />D <br />:~ <br />)D <br />N <br />W <br />.y <br />it <br />ep <br />.J <br />rn <br />7 <br />D <br />7 <br />~` <br />7 <br />N <br />.L <br />v.) <br />'D <br />n <br />r;~ <br />:J <br />O <br />W <br />PS Form 3811, Apr. 1989 •U.e.G.P.O. 1999-]99-915 DOMESTIC RETURN RECEIPT <br />
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