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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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<br />nJ <br />Iti <br />r <br />ru <br />C3 <br />C3 Postage $ <br />111 <br />Certified Fee <br />M Postmark <br />C3 Retum Receipt F-e Here <br />C3 (Endorsement Requi A) <br />C3 Restricted Delivery C3 (Endorsement Requi f) <br />Er <br />S Total Postage &' ` 3 Z <br />r-a <br />Sent To <br />[a ---------•------ Maplewood Financial Inc. -"------"--"--------- <br />Street Apt. No., <br />r-3 or Po t ox No. PO Box 775246 <br />C;ry .r --° -' "' Steamboat Springs, CO 80477 <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 />MMIC%"ood Financial Inc. <br />PO Box 775246 <br />'Steamboat Springs, CO 80477 <br />? THIS SECTION ON DELIVERY <br />A. SignaturA <br />13 Agent <br />X/ 1 / O Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />I t - /-I 1")l L.• I ). <br />D. Is delivery address different from hem 12 0 Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />01 ertified Mail ? Express Mail <br />0 Registered B'Wetum Receipt for Merchandise <br />O Insured Mail O C.O.D. <br />4. Restricted Deliver)/) (Extra Fee) O Yes <br />2. Article Number 7 n n 7 1490 0 o n-A x'1(12 7724 <br />(Transfer from service label <br />PS Form 3811, February 2004 Domestic Return R - 102595-02-M-1 640 <br />61 jq.
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