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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 />Barry Thoma <br />247 Switzerland Park Rd <br />Boulder, CO 80302 <br />/ <br />A. Signature <br />gent <br />B. <br />Y <br />D. Is delivery address different n - ml? Wes <br />If YES, enter delivery addre Will [?'('/JV]J(jN0 -C, <br />3. Service Type <br />Certified Mail ? Express Mail <br />? egistered ? 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 0841 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt ?IP6sG?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 />A. <br />? Agent <br />6k&m?" ? Addressee <br />Received by (Pr/nted NaW) ?,.a e of Delivery <br />1. Article Addressed to: <br />Steven W. & Gloria A. McKenney <br />4354 S. Jasper St. <br />Aurora, Co 80015 <br />D. Is delivery address dif <br />If YES, enter delivery <br />` O\ ?CO- <br />3. Service Type ,t t 11 <br />ertified Mail ? Express Mail <br />; egistered ? Return Receipt for Merchandise 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 lab 7008 1140 0003 4437 4824 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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