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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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s <br />tr <br />tti I <br />ru I I <br />IM <br />C7 Postage <br />Ln <br />Certified Fee <br />M Postmark <br />M Return Receipt Fee Here <br />M (Endorsement Required) <br />C] <br />C3 (Enaorct ttentt Required) <br />fr L -1 <br />'2" Total Postage % <br />t? Sent To <br />__ Colorado Division of Water Resources WD6 -------- <br />C3 srieei,Apt No.; -- PO Box 773450 <br />r? or PO Box No. Steamboat Springs, CO 80477 -------- <br />City, Slale, ZIP <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 mallpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />Colorado Division of Warr Resources WD6 <br />PO Box 773450 <br />Steamboat Springs, CO r'i i 77 <br />2. Article Number <br />(Transfer from service labs!) <br />PS Form 3811, February 2004 <br />A. Sig ture <br />X Agent <br />%?/%,"/ ? Addressee <br />Received by (Printed Name) C. Date of Delivery <br />'e L %L- , p 7 <br />D. delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />CkC tlfled Mall ? Express Mall <br />O Registered O?Retumt Recelpt for Merchandise <br />? Insured Mall 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />7007 1490 0003 5002 7694 <br />Domestic Retum Receipt 102595-02-M-1540 <br />31r+
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