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2009-08-28_REVISION - M2003024 (3)
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2009-08-28_REVISION - M2003024 (3)
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Last modified
6/15/2021 5:55:49 PM
Creation date
8/31/2009 2:27:01 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003024
IBM Index Class Name
REVISION
Doc Date
8/28/2009
Doc Name
Response
From
Phillips County
To
DRMS
Type & Sequence
CN1
Email Name
ECS
Media Type
D
Archive
No
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mplete Items 1, 2, and 3. Also complete <br />m 4 if Restricted Delivery is desired. <br />rint 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 />Article Addressed to: <br />Delvin and Shirley Claymon Revocable <br />Trust <br />36521 Co. Rd. 51 <br />Amherst, CO 80721-9740 <br />A. Signs re <br />X "? : l?[ihV?Kr 0 Addre <br />? Addressee <br />B. RR Ived by (Printed Name) C. Date of Delivery <br />` . T"'. r IS-0-ot? <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: I?- No <br />3. Service Type <br />MCerttW Mail ? Express Mail <br />? Registered QLRetum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Exba Fee) ? Yes <br />2. Afticle urstNumbe <br />mansfer from 7005 3110 0004 3998 8406 <br />(Tr . <br />DS Form 3811, February 2004 Domestic Return Receipt <br />1 mplete llama 1, 2, and 3. Also complete <br />m 4 if Res Mcted Delivery is desired. <br />nt 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 />. Article Addressed to: <br />Mr. Kenneth Schlachter <br />and Larue Schlachter Trust <br />541 E. Carnahan St. <br />Holyoke, CO 80734-1736 <br />!. Article Nur <br />A. Signature <br />102595-0244-150 <br />Agent <br />X ? Addressee <br />B. R by (Prim Name) S`„,,Date of Delivery <br />IX-17-6 <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />K Certified Mall ? Express Mail <br />? Registered P.Retum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? yes <br />7005 3110 0004 3998 8413 <br />'S Form 3811, February 2004 Domestic Return Receipt ,02595-02 4,540 <br />n lmplete Items.1, 2, and 3. Also complete <br />m 4 If Restricted Delivery is desired. <br />t 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 matipiece, <br />or on the front if space permits. <br />Article Addressed to: <br />Mr. Bradford Koontz <br />2703 High Plains Ct. <br />Ft. Collins, CO 80526-6501 <br />A Slonmu <br />? Agent <br />? Addre <br />B. Received by (PHbteWpftngl-? I QDt /-Deli <br />D. Is delivery address differerrt from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />XZertifled Mail ? Express Mail <br />? Registered IN Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? yes I <br />Article •' °?__ <br />(Transh 7005 3110 0004 3998 8444 <br />'S Form 3811, February 2004 Domestic Return Receipt 102s9502-M-1540;
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