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REP35404
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REP35404
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Entry Properties
Last modified
8/25/2016 12:12:42 AM
Creation date
11/27/2007 7:06:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984040
IBM Index Class Name
Report
Doc Date
9/15/1987
From
LARRY L CHARTIER
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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SENOEp: Complete items 1 and 2 when additional serviees en des{rod, and cpg8,ltrta items 3 end 4. <br />Put your addross in the TURN TO" space on the roverse ddar Fetluro t0"d6 ivlll prewm this <br />card from being returne...a'you. The return recel t !ee wlll rowde ou the nam.~f the rson <br />delivered to end the date of dellve .For eddit anal fees the al owing servleas ere eve a e. Consult <br />postmaster for tees end check box esl for additional servicels) requested. <br />1. %~ Show to whom delivered, data, and addressee's address. 2. ^ Restricted Delivery. <br />3. Article Adtlressed to: 4. Article Number <br />Larry L. Chartier <br />21305 Road 2815 Tvpe of serviee: ! <br />Brush, CO 81082 Registand ~ (rnured <br /> ~ <br />Certtffad COD <br /> Exprns Mail <br /> Always obtain si ro dres or <br /> agent end OAT E9 <br />5. Si -Addressee 8. Addressee's dd ss Y ij <br /> ~ <br />rcquetteda fe pardJ ^ <br /> q r~ <br /> H <br />Delivery <br />X73 D~ <br />0 <br />. 1 <br />D <br />O <br />orm 38t i, Feb. E986 <br />r'h6ilfisTV' pJ!TURN IsE1:EWT <br />.~ <br />P 051 873 944 3~ <br />w~ <br />RECEIPT FOP. CERTIFIED MAIL ? T <br />NO INSURANCE COVERAGE PROVIDED ~ ~ <br />N07 FOR INTERNATIONAL MAIL ~ <br />(See Reverse) ~, <br />s <br />m <br />0 <br />d <br />Yl <br />^ <br />0 <br />c <br />u <br />f <br />F <br />u <br />u <br />a <br />sent to Larry L. Chartier <br />Street and No. <br />rush,e CgZ810~e2 <br /> <br />Postage S <br />Certilletl Fee <br />I <br />F <br />> <br />{e 1987 <br />Restrlcta I' rn <br />Return ReceiP~ha~/+~ <br />gq,, <br />~~ <br />~+ <br />I ! <br />m <br />to wn <br />o <br />1( <br />G~ <br />~o <br />r <br />r~ <br />pc~ <br />~Rsbc21et~6 <br />o~ <br />es <br />Delivery <br />63 <br />TOTAL Post a and Fees ~ , S <br />Postmark <br />~ ~'' 1y <br />J ' <br />~~ <br />~ <br />_? <br />~ 1 <br />•; r <br />-.,.~ I <br />I <br /> <br />. <br />\ .; <br />i <br />a <br />a <br />a <br />
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