2009-10-02_PERMIT FILE - M2009064

• Permit No: M2009064
• IBM Index Class Name: PERMIT FILE
• Doc Date: 10/2/2009
• Doc Name: Proof of publicaton & receipts
• From: Environment, Inc.
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

GRAND COUNTY DEPARTMENT OF ROAD AND BRIDGE
CR# 3 PIT - PERMIT # M-2009-064
PROOF OF DELIVERY - ADJOINING OWNERS. 9109109

¦ Complete items 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
City and County Of Denver
Denver Water Board
1600 West 12th Ave,
Denver, CO, 80204-3412
? Agent
nt
X
a XL
? Addresser
fiK Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
;K,certifred mail ? Express mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7004 0750 0002 5692 4351
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the reverse
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Loch-N-Vale, Ltd.
3921 CR 3
Parshall, CO, 86468-8805
A. :Sig X gent
1/16? ? ddressee
Rece by (PrintBd.Na) atg of P)JIlvery
I A /'?;o
!19/?vl1n,0
(% /A
//
015r
D. Is delivery address different from item f? ? Yes
No
If YES, enter delivery address below:
3. Service Type
XSQertified Mail ? Express mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article Number 7004 0750 0002 5692 4368
(rmnsfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 1102595-02-W115401