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2009-05-13_REVISION - C1981048 (2)
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2009-05-13_REVISION - C1981048 (2)
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Entry Properties
Last modified
8/24/2016 3:46:28 PM
Creation date
5/14/2009 10:01:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
REVISION
Doc Date
5/13/2009
Doc Name
Certified Return Receipt (Termination of Jurisdiction)
From
Landowners
To
DRMS
Type & Sequence
SL6
Email Name
KAG
Media Type
D
Archive
No
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<br />l <br />( <br />?a <br />-Qq 8 <br />5 5?_b <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 />Richard L. & Amanda S. Thompson <br />24311 Ridgeline Dr. North <br />Trinidad, CO 81082 <br />A <br />Received by ( <br />D. Is delivery address different from V Y <br />If YES, enter delivery address belo No <br /> <br />3. Service 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 7006 3450 0000 4880 0834 <br />(Transfer from service labe_ - -- <br />PS Form 3811, February 2004 Domestic Return Receipt 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 />David Doom & Maria Luisa' <br />P.O. Box 527 <br />Trinidad, CO 81082 <br />A. Signature <br />X <br />8. Received by (Printed Name) C. D. <br />D. Is delivery address different from item 1? U <br />If YES, enter delivery address below: ? N <br />3XSe eType <br />rtified Mail <br />egistered <br />? Insured Mail <br />ERG <br />? Express Mail <br />? Return Receipt for Merchandise <br />? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article <br />(transfer 7006 3450 0000 4880 0865 <br />frorom from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540'
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