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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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r` <br />I? <br />? I <br />ti <br />O <br />O Pos: <br />tr) <br />Certified Fee <br />M Postmark <br />C3 Return Rt iM Fee Here <br />C3 (Endorsement . quired) <br />O <br />Restricted Deliver . _e <br />0 (Endorsement Required) <br />it <br />= T, Jr?2- <br />r-q <br />r`- Sent To <br />C3 _----------___ _- High Country Lamb LLC <br />C3 Street Apt. No.; PO Box 156 <br />f%- or PO' 'Jo. <br />- ........ Oak Creek, CO 80467 --------------------°°---- <br />City, •.aw, ZIP+4 <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 />High Country Lamb LLC <br />PO Box 156 <br />Oak: Creek, CO 80467 <br />A. Signature <br />1 ? Agent <br />X L? Addressee <br />B. eceived by (Printed Name) C. Data of Delivery <br />PC'bf. r <br />D. Is delivery address different from Item 11 ? Yes <br />If YES, enter delivery address below: ? No <br />3. Serv Type <br />Certifiied Mall ? Express Mail <br />? Registered C?'Aetum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service labeo <br />PS Form 3811, February 2004 <br />7997 1492 00['3 5002 7717 <br />Domestic : turn eceipt 102595-02-M-1540 <br />sI i?
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