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2008-12-31_REVISION - C1980001
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2008-12-31_REVISION - C1980001
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Entry Properties
Last modified
8/24/2016 3:39:21 PM
Creation date
12/31/2008 11:14:59 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
REVISION
Doc Date
12/31/2008
Doc Name
Proof of Publication, Landowner & Agency Notification/Well Transfer
From
WWCEngineering
To
DRMS
Type & Sequence
SL10
Media Type
D
Archive
No
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ru J <br />0 <br />O Post , <br />Ln <br />Certified Fee <br />M Postmark <br />C3 Return Receipt Fee Here <br />O (Endorsement Required) <br />0 <br />Restricted Delivery Fee <br />17 (Endorsement Required) <br />t7^ L <br />= Total Postage & F, es <br />r-9 --- <br />r%- Sent To <br />------------• Town of Oak Creek <br />O Street, Apt. No.; PO BOX 128 <br />or PO Box No. Oak Creek, CO 80467 <br />---- Q BO <br />City State, ZfP; <br />¦ 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 />Town of Oak Creek <br />PO $ox 128 <br />OakCreek,CO eu.vt <br />A. Signature <br />Agent <br />X F??Yxtv, Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Rem 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />Wcertified mail ? Express Mail <br />? Registered i3-,Ffum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />1 4. Restricted Delivery? (Extra Fee) <br />2. Article Number 747 149 [?[?r? ?91?2 7762 <br />(transfer from service label) <br />PS Fnrm 3811. Februarv 2004 Domestic Return Receipt <br />? Yes <br />102595-02-M-1540 <br />1411+
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