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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. Also 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. Article Addressed to: ~ <br />• <br />E ,.. ~ <br />Chandler Creek Companie~ <br />PO Box 370286 <br />Denver CO 80237-0286 <br />A. Siq,~r ature , ~ <br />( ^ Agent <br />^ Addressee <br />by (Pr/nted Name) C. Date of Delivery <br />ery address different from item 17 ^ Yes <br />If Y '. ~er delivery address below: ^ No <br />~~ o~~ <br />ice Type <br />ertifled Mail ^ F~cpress Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivert/1(Extra Fee) ^ Y~ ' <br />2. Article Number <br />(Transferrromserv/ce~abelJ 7003 168 X200 6422 8870 <br />,BPS Form 3811_February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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