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2009-08-28_REVISION - M2003024 (3)
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2009-08-28_REVISION - M2003024 (3)
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Entry Properties
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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?,/ <br />Complete items 1, 2, and 3. Also complete A. Sign iture <br />errt <br />item 4 if Restricted Delivery Is desired. <br />Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. B. k06, y (Printed ly?aL C. Date of Delivery <br />I Attac4fis card to the back of the mailpiece, <br />or on: front if space permits. <br />= ; I . ?! I - <br />D. Is delivery ad 1? ? Yes <br />Artic ressed to: If YES, enter slivery address belo?rf, ? No <br />'Mr. Sherman Koontz 4110 <br />P.O. Box 218437 <br />Nashville, TN 37221-8437 1D/In <br />3. Service Type <br />2CCertifted Mail xprew <br />? Registered a Return Re Me dise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />Article Num <br />(Transfer fro 7005 3110 0004 3998 8437 <br />,s Form 3811, February 2004 Domestic Return Receipt .b 10259 n2-M-1540 <br />i Complete Items 1, 2, and 3. Also complete <br />Rem 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 />Article Addressed to: <br />Ms. Debra Olson <br />27U'Zaribbean Dr. <br />Grand ltusition, CO 81506 <br />'rf <br />A. Signature <br />tt(\N?\X Q 0 1" ? Agent <br />? Addre <br />B. Received by n Name) at of Del <br />oVI f7 00 <br />D. Is delivery address different from Item 17 ? Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />PKCertifled Mail ? Express Mail <br />? Registered <br />? Insured Mail i <br />4. Restricted Delivery (Exfia Fee) ? Yes <br />Article Number 7005 3110 0004 3998 8420 <br />(Transfer from serv,.?, <br />s Form 3811, February 2004 Domestic Return Receipt 102596-024&1yw <br />¦ mpiete items 1, 2, and 3. Also complete <br />n em 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. C&B Stout Trust <br />601 E. Carnahan Street <br />Holyoke, CO 80734-1757 <br />A. SlgnatuG?? d' <br />X ? 13 ant <br />? Addressee <br />,,R iy (Prin Name) C. Date of Delivery <br />D. Is delivery address different iro 1? ? Yes <br />If YES, enter delivery address bw: <br />A-04 IR ? "47 <br />14. ervice Type r <br />Certifled Mail ` : CJ <br />Registered <br />Insured Maf <br />stricted DeliveM <br />.Article Nu " <br />(Transfer1 7005 3110 0004 3998 8390 i <br />s Form 3811, February 2004 Domestic Retyp,. <br />Mail <br />Receipt for Merchandise <br />i ? Yes <br />Z t=- .44 i -01 540''
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