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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 />A. Si ? <br />X nt <br />? Addressee <br />B. ceived by (Printed Name) C. Date of Delivery <br />-O <br />D. Is delivery address different from 1 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Department of Natural Resources <br />State Board of Land Commissioners <br />1313 Sherman St, Room 620 <br />Denver Co, 80203 <br />W ice Type <br />Certified Mail ? Express Mail <br />L1 Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number - - - -- - --- -- -- <br />(Iransferfromservicelat 7006 3450 0000 4880 0681 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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