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2009-09-21_REVISION - M1983176 (4)
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2009-09-21_REVISION - M1983176 (4)
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Entry Properties
Last modified
6/15/2021 5:44:13 PM
Creation date
9/24/2009 7:55:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983176
IBM Index Class Name
REVISION
Doc Date
9/21/2009
Doc Name
Additional Info.
From
Asphalt Specialties Co.
To
DRMS
Type & Sequence
AM4
Email Name
DB2
Media Type
D
Archive
No
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¦ Complete items 1, 2, and 3. Also complete <br />I item 4 if Restricted Delivery is desired. <br />i ¦ Print your name and address on the reverse <br />so that we can return the card to you. <br />i ¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />i 1. Article Addressed to: <br />West Adams Conservation_) <br />224 South 14th Avenue <br />Brighton, CO 80601 <br />A. Signature c - <br />B. ReFeivfqIby (Pdnted Name) C. <br />? Agent <br />? Addre <br />D. Is delivery address different from P'1? ? Yes <br />If YES, enter delivery address below: ? No <br />t. <br />3. Service Type <br />XX certified mail ? Express Mail <br />? Registered RPRetum Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery?. (Extra Fee) ? Yes <br />2. Article Number <br />(Transfer from service label) 7 0 0 9 0 8 2 0 0 0 01 1030 8 4 3 6 <br />PS Form 3811, February 2004 Domestic Return. Receipt 102595-02.M-1540 <br />¦ Complete items 1, 2, and 3. Also complete A. Signature <br />1 item 4 if Restricted Delivery is desired. D Agent. <br />¦ Print your name and address. on the reverse - X '? Addressee <br />j so that we can return the card to you. B. Received by (Pdn e) C. Date of Delivery <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. G 3 <br />1. Article Addressed to: D. Is deliv§ry address different em 1? = l7. Yes <br />If YES, enter delivery address f No <br />Adams Cnty. Commissioners ?., <br />Adams Cnty. Admin. Bldg. <br />450 So. 4th Avenue <br />Brighton, CO 80601 <br /> <br />3. Service Type <br />)aCertifled Mail ? Express Mail <br />? Registered 1EL Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />i <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(IYansfer from service labeQ 7 0 09 0 8 20 00 01 103 0 8 4 43 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540:
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