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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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<br />E:3 .. , <br />m <br />ru <br />Co ^ <br /> Postage: ?$0.4?? <br />° <br />C3 Certified Fee: <br />tE Return Receipt Fee: ?$2 8th <br />$2:3 <br />0 <br /> ll Total Postage & Fees: $5.541 <br />o <br />= Total postage & tees I .p <br />m <br />_a [ Colorado State Land Board <br />E Northwest District Office 556 <br />0 Breeze Street <br />P.O. Box 1094 <br />Craig, CO 81626 <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 mailplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />A. Signature ? ?, ,? <br />X 1&ae Owt ? Addre <br />B. Received by (Printed Name) D to of elivery <br />?19L m??1?)i?f7(D? <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Colorado State Land Board I <br />Northwest District Office 555 <br />Breeze Street 3. Service Type <br />P.O. Box 1094 ? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />Craig, CO 81626 ? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7006 3450 0000 4880 2340 <br />(Transfer from service label) - - <br />PS Form 3811, February 2004 Domestic Return Receipt 102555-02w1-1540
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