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2008-06-16_REVISION - M1973007SG (3)
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2008-06-16_REVISION - M1973007SG (3)
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Entry Properties
Last modified
6/15/2021 5:39:01 PM
Creation date
6/17/2008 12:11:41 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1973007SG
IBM Index Class Name
REVISION
Doc Date
6/16/2008
Doc Name
Proof of Publication and Return Receipts for Notices sent to Adjacent Landowners
From
SES
To
DRMS
Type & Sequence
AM3
Email Name
JLE
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 mallpiece, <br />or on the front H space permits. <br />1. Article Addressed to: <br />CARL F & VIRGINIA E T JOHNSON <br />3430 CLUBVIEW TER <br />COLORADO SPRI14GS CO <br />80906-4420 <br />A. S Complete items 1, 2, and 3. Also complete <br />Item 4 if Restricted Delivery Is desired. <br />x - ? Agent Print your name and address on the reverse <br />. 1111-, ? Addressee so that we can return the card to you. <br />B eoe (Ptfrrted Name) C. Djo of Delivery Attach this card to the back of the mailpiece, <br />a rl or on the front If space permits. <br />D. Is delivery address different from kern 1? ? Article Addressed to: <br />If YES, enter delivery address below: ? No <br />3. Type <br />C•rtiNed Map M 8pess Map <br />? Registered ? Retttm Receipt for Merchandise <br />? Insured Map ? C.O.D. <br />4. Restricted Denver (Extra Fee) ? Yes <br />2. Article Number 7006 2150 0001 7307 1235 <br />(T-ofer from swvke td <br />PS Form 3811, February 2004 Domestic Return Receipt <br />i <br />Postal RECEIPT <br />L-n M CERTIFIED (Domestic Only, No Insurance Coverage Provided) <br />ru <br />°? U <br />M Postage $ f0.58 Ol?q <br />Certified Fee ?? <br />Return Receipt Fee P <br />O (Endorsement Required) f2.15, ere r - <br />C3 <br />Restricted Delivery Fee Lj <br />.00. ) <br />C3 (Endorsement Required) E65.38 <br />Lrl <br />I ? Total Postage & Fees $ >• ? Sent To .'. ? " <br />G :.l ...... ..... <br />:rte or PO ON Rate'AN <br />rib <o ?' Q6 <br />? Agent <br />? Addresst <br />B. Received by (Ptbrted Name) <br />_ I i, -1i <br />D. is delivery address different from Item 1? ? Yes <br />if YES, enter delivery address below: ? No <br />3. ben <br />Type <br />Cerbfled Mats O Express Map <br />? Registered ? Retum Receipt for Merchandtse <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? pdra Fee) ? Yes <br />Article Number ?006 2150 0001 ?30? 1211 <br />(rmnsfer from seMoa kW <br />, Form 3811, February 2004 Domestic Return Receipt 102585.02-M1540 <br />102595-02.M-1540 <br />BLOCK 260 LTD <br />3 WIDEFIELD BLVD <br />COLORADO SPRINGS CO <br />80911-2126 <br />(Domestic <br /> For deliver <br />info <br />mati <br />i <br />it <br />b <br />i <br /> y <br />r <br />on v <br />s <br />our we <br />s <br />te at www.usps.come <br /> oupyk L <br />COk(IRA IM"Is"O <br />? ? E <br /> f <br />E <br />. <br />- <br />C3 <br />m Postage <br />? $ $0.58 .? <br />LNG <br />Certified Fee $2.65 2 I <br />r <br />C3 Return Receipt Fee <br />(Endorsement Required) <br />=2.15 l <br />os <br />re <br />Here <br /> <br />? <br />O <br />Restricted Delivery Fee <br />0 (Endorsement Required) <br />$0.00 `. <br />ui f5.38 ??q5/ O? <br />r-q Total Postage & Fees ,$ <br />ru -?. <br />? Sent.T _ _ <br />M <br /> <br />C3 <br /> <br />1716- <br />._.. _ <br />...... <br />treat. <br />, t.No • ? <br />or PO Box No. <br />1 /[ .......... .................... <br /> <br /> <br />p^( <br /> ._. <br />.. <br />Ciry, Sts , 21P+4 <br />cl , rO <br />PS Form :3800, August 2006 y.._ <br /> <br />C5q <br /> <br />See Reverse fo <br />I <br />t <br />ti <br /> r <br />ns <br />ruc <br />onL
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