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2009-05-09_REVISION - C1981048
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2009-05-09_REVISION - C1981048
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Entry Properties
Last modified
8/24/2016 3:46:20 PM
Creation date
5/13/2009 9:52:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
REVISION
Doc Date
5/9/2009
Doc Name
Certified Return Receipt (Termination of Juridiction)
From
Landowners
To
DRMS
Type & Sequence
SL6
Email Name
KAG
Media Type
D
Archive
No
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¦ 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 />Huerfano/Las Animas Area Council <br />Of Government DBA South Central <br />COG and Council of GOVT <br />300 N. Bonaventure <br />Trinidad, CO 81082 <br />A. Signature <br />IJj??f0-.<gent <br />X? Addressee <br />B. Received by 1(Printed Name) C. Date of Delivery <br />67iW1, f'vi ?? CLWIG//C c? <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: ? No <br />3. ice Type <br />Certified Mail ? Express Mail <br />? 'Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? yes <br />2. Article Number - - <br />(Transfer from service label) 7006 3450 0000 4878 3243 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <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 />Michael & Grace Ewald <br />27522 County Rd 44 <br />Trinidad, Co 81082-9690 <br />A. Sigri t <br />X Ai <br />B. Rece ed by (Printed Name) C. Date of <br />D. Is delivery address different from item 1'/ ? 'Hea <br />If YES, enter delivey address below: ? No <br />3. ervice Type <br />pQr_ertified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7006 3450 0000 4880 0742 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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