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2009-05-18_REVISION - C1981048
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2009-05-18_REVISION - C1981048
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Entry Properties
Last modified
8/24/2016 3:46:38 PM
Creation date
5/18/2009 12:22:24 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981048
IBM Index Class Name
REVISION
Doc Date
5/18/2009
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 />¦ 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 cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Peter Hanley 44.0 <br />26650 County Rd <br />Trinidad, Co 81082 <br />SL-? <br />A. Signat <br />r <br />B. Re ived by (Printed Name) <br />D. Is delivery address different from <br />if YES, enter delivery address b <br />3. Service TYPO <br />? Certified Mail ? Express Mail <br />0 Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />Restricted Delivery? (Extra Fee) ? Yes <br />4. <br />2. Article Number 7006 3450 0000 4880 0810 <br />(transfer from service /al 102595-02-M-1540 <br />Domestic Return Receipt <br />PS Form 3811, February 2004 - - <br />i - <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 />Ronald E. & Dianne M. Decker <br />617 W. Broadway <br />Newton, KS 67114 <br />A. Signature ? Agent <br />X ? Addressee <br />B, eceived by (printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? [3 Yes <br />if YES, enter delivery address below: ? No <br />3. S rvice 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 006 3450 0000 4880 0674 <br />(Transfer from service I 7 102595-02-M-1540 <br />PS Form 3811, February 2004 Domestic Return Receipt _ <br />- -
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