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REP28880
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REP28880
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Entry Properties
Last modified
8/24/2016 11:59:25 PM
Creation date
11/27/2007 5:11:36 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977151
IBM Index Class Name
Report
Doc Date
2/8/1988
Doc Name
FN M-77-151 GREELEY PIT ANNUAL FEE & REPORT REQUEST
From
MLRD
To
GREELEY EXCAVATING CO
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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•$ENDE R: Complete items 1 entl Z when etlditlonsl +ervlce+ are deal red, end complete Items J <br />entl 4. <br />Put your atldrev In the "RETURN TO" Space on the reverse slde. Fellure to do thle will prevent xh is <br />cord trom befog retu road to you. ha a u n e fee II rovltle ou hen me f he arson <br />dallvered to entl the date of delfvarv. For edtlltlonel 1ea+ the followlnp +arvlce+era evelkble. Consult <br />p o+tme+ter for tees entl check box(es) for edtlltlonel service(+) requested. <br />1. Xx Show xd whom dallvered, date, end etltlressea'+addr~ss. 2. ^ Restricted Oellvery <br />t (Extra charge) t 1(Extra charge) t <br />3. Article Addressed to: 4. Article Number <br />Greeley Excavating Co P 169 876 634 <br />Box 2434 Type of service: <br />• Greeley, CO 50632 ^ Registered ^ Insured <br /> Certified ^ COD <br /> ^ Express Mail <br />' Always obtain signature of addressee <br />~ l-P~ or agent end DATE DELIVERED. <br />5. Signature-Addressee 8, Addressee's Address (ONLYrf <br />X ~ requested artd fee paid) <br />6. Signature -Agent ~0~ .y ~~ <br /> <br /> <br />7. Date of Delivery FE8 6 ~ 1090 ~ ~ ~ <br />gp cc3 <br />PS Form 31577, Mar. 1967 : U.S.a.P.O. s9a7-s7a26a DOMESTIC RETURN RECEIPT <br />f~F 8ii>i Mine No: M-77-151 <br />P 169 876 634 <br /> <br />Y <br />m <br />e. <br />d <br />ti <br />7 <br />ej <br />j <br />M <br />m <br />.G <br />li <br />E <br />li <br />N <br />a <br />w <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL `..~_ <br />(See Reverse) ~ ~, <br />5~°reeley Excavating Co. "' <br />St et an <br />fox °L~~4 ~ <br /> <br />P, Slat and ZIP otl <br />Feeley <br />C X0632 w <br />rn <br />. <br />, 1 <br />Postage S . .3 <br /> t~ <br />Certified Fee ~ <br /> . ~ <br />j <br /> <br />Speci I <br /> T <br /> <br />Restricted Del ee <br />~1~~ 819 <br />w <br />J <br />Return Recei ShQJj~ <br />h <br />dpL~{ <br />~~ <br />N <br />" ~ <br />to w <br />om an <br />IML <br />. <br />1 <br />~~j <br />D ie~ <br />V <br />y~'S~ON <br />_ <br />S.O ress,6 • elrvery , <br />anE ~ <br />TOTAL Postage aoa Feed _ ~ '~ <br />_ - ~'ro <br />Postmark or D to ~ `:: <br />~ ~ <br />a <br />l~l'i~ '~ <br />~ <br />- ~ <br />. <br />_i <br />. V o(~ / <br />~.- ~ <br />
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