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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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0 <br />0 <br />n-? <br />r? l <br />rti <br />C3 <br />C3 Post_ <br />Ln <br />Certified Fee <br />M Postmark <br />M Return Receip Here <br />C3 (Endorsement R Ared) <br />O <br />Restricted 0 iry Fee <br />c3 (Endorsement 1. fired) <br />tT r <br />-3- Total Postage & Fees i, > 1 3 Z <br />r1 J <br />r%- Sent To <br />Fredrick Green Hceptner <br />r3 §iieei, ApEW Coloroutt Coal 09-004 C/O CO State Bank, PO Box <br />f,- or PO Box No. 5945 TA <br />City State, ZIP Denver, CO 80217 _ <br />¦ Complete items 1, 2, and 3. Also complete <br />Rem 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 />Fredrick Green Hoeptner <br />A Signature X Mail Delivery v , Inc 0 Addressee <br />B. Received by Ca*wWNamej C. Date of Delivery <br />D. Is deliveryaddress differeA1;;nn Rem 1? ? Yes <br />If YES, e - -ess below: 0 No <br />Coloroutt Coal 09-004 C/O CO State Bank, PO Box 3. Servid 9 <br />5945 TA Oter _ I i ' i express Mail <br />Denver, CO 80217 p Registered Ltetum Receipt for Merchandise <br />0 Insured Mail O C.O.D. <br />4. Restricted Delivery? (Extra Fee) O Yes <br />2. Article Number <br />(transfer from service labs!) <br />Ps Form 3811, February 2004 <br />.4" j ; 5202 77211 <br />Domestic Return Receipt <br />102595-02-M-1540 <br />47/1-4-
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