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REP24488
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REP24488
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Entry Properties
Last modified
8/24/2016 11:56:27 PM
Creation date
11/27/2007 3:59:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979131
IBM Index Class Name
Report
Doc Date
8/25/1987
Doc Name
FN M-79-131 KORINEK S&G PIT ANNUAL FEE AND REPORT REQUEST
From
MLRD
To
FRED L KORINEK
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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. iENDE R: Campleu Items t and 3 when eddttknel eenAwe en dMred, end eomple[e Item, 3 end <br />ht your eddrot In the "RETURN TO" fps en lire ruwrw Yol. FeN[In m do th4 will proven[ thlf <br />Ifoifnr for Ten wrt etleei[ boalee) for edditloml wrviwle) requefMd. <br />Show to whom dNMrW, deb, end eddrwwe'e eddrea. :..2. ~ Roetrkp0 DNMry. ~ <br />btlcle Addtwfed to: ~ 4. Art Nurrlber <br />Fred L. Korinek <br />BDX 35 rywotamo: 6 <br />Ordway, CO 81063 ^^ ~R~eepr~tfI~ ^ ImureA <br />LJ ExprewllMll a COD H <br />Alweyf obMn eipneurn of eddnef~elr + <br />pent end DATE DELIVERED. <br />Sienw,ure - AAdreuee fl. Addrareh Addres /ONLY i( <br />x <br />dare-CWn /„Q.c.Y.t'!' /~~,~iL' ~~ <br />DNMrv (oJ~ (7/~i~tL//y, ~ B/Obey m <br />•~~ O / ~ m <br />' }, Feb. 199f r`aMEITIr` RETUR LL <br />°o <br />M <br />E <br />u <br />.~ <br />~y 3D <br />P 051 873 965 ~~ <br />I T <br />~~ <br />RECEIPT FOR CERTIFIED MAIL .W.. ~ <br />^!0 ~NSIIRANCE COVERAGE PROVIDED <br />'.Oi FOR INTERNATIOSAL '.'A'IL <br />(See Reverse) <br />semt° Fred L. Korinek -+ <br />Slreel and Np. <br />5 <br />POrdSway;ndC~~ `~Pb63 <br />PpstaBe <br />i g <br />Special Delivery F e 1997 <br />I <br />RaslriCted Dellrery Fee <br />Return Re i y~p~`ar~1V` tO~ <br />Rehm receipt showing to whom, <br />Date, and Address pf Delivery <br />TOTAL Pos~a;e aid Faes g <br />Postmark o~ Dale <br />_.. I <br />
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