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2009-06-17_REVISION - C1994082
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2009-06-17_REVISION - C1994082
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Entry Properties
Last modified
8/24/2016 3:47:54 PM
Creation date
6/23/2009 2:49:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
REVISION
Doc Date
6/17/2009
Doc Name
Certified Return Receipt (Inspection Notification)
From
BLM & Land Board and Excel Energy
To
DRMS
Type & Sequence
SL2
Email Name
DTM
Media Type
D
Archive
No
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-0? Z <br />ry) <br /> Postal Service,, me <br /> CERTIFIED MAIL <br />RE CEIPT <br /> <br />L, , <br />(Domestic Mail Onlk; No Insurance C overa e <br />Provided) <br />M <br />ru 111 <br />, <br />o <br /> <br />cc ~ <br />Co <br />?• Postage: <br /> <br />$U <br />:44 <br /> Certified Fee: $2; <br />80 <br />E3 <br />Reti Return Receipt Fee: <br />., $2.30 <br />O (Endorse J <br />0 Restrict Total Postage & Fees: $5.54 <br />0 <br />Ln (Endorse. - -.- --. <br />= Total Postage & Fees $ <br />M <br />C3 fer Maiolo <br />' <br />O eau of Land Management '""'"""""' - ' " <br />r, ke Field Office <br />L <br />? <br /> .. <br />Y <br />rson St . ...................""-"-------- <br /> 81625 <br /> <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 />Ms Jennifer Maiolo <br />U.S. Bureau Of Land Management <br />Little Snake Field Office <br />455 Emerson St. <br />Craig, Co 81625 <br />A. <br />B. Fjecelved by (Printed Name) <br />D. Is delivery address different from item 1 T Ye: <br />If YES, enter delivery address below: /""- <br />ice Type <br />ertifed Mail E3 Express Mail <br />? gistered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br /> <br />. ,?....... c <br />U Yes <br />?. ... a.v.v nYUlutlf <br />ffi-nsferbomservIcelabel) 7006 3450 0000 4880 2357 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />- -- 102595-02-M-1540
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