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2008-04-14_REVISION - C1983058
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2008-04-14_REVISION - C1983058
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Entry Properties
Last modified
8/24/2016 3:27:34 PM
Creation date
4/17/2008 11:02:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1983058
IBM Index Class Name
REVISION
Doc Date
4/14/2008
Doc Name
Certified Return Receipt (Termination of Jurisidiction)
From
Landowners
To
DRMS
Type & Sequence
SL2
Email Name
KAG
Media Type
D
Archive
No
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^ Complete items 1, 2, and 3. Aiso complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. FV U(:Itl FWUfCSSdO W: <br />State of Colorado <br />State Land Board <br />1313 Sherman St. Rm 621 <br />Denver CO 80203 <br />A Signat ~~ ~~ <br />~'Kgent <br />X <br />~G(i Addressee <br />B. R ved by rfnted am) . D to o elivery <br /> <br />D. Is delivery address different from 1? Yes <br />if YES, enter delivery address Blo w: ^ No <br />3. Service Type <br />^ Cert'rfied Mail ^ Express Mall <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (F_xt-a Fee) ^ Yes <br />2. Article Number <br />(Transfer fromservlcelabel) 7003 1680 D0~0 6422 8863 <br />PS Form 3811, February 2004 Domestic Return Receipt ~ozsss-oz-nn-isao <br />
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