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 cans to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
A.
Agent
Kathleen & Paterson Shaw
1404 E. Quincy Ave.
Cherry Hills Village, CO,
80113
C.
Z? >V/ r - .
D. Is delNery address different from Item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
Certified Mail O 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 4375
(Transfer from service /abeq
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1640
¦ 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:
A. Signature
O Agent
? Addressee
oock?vi (P?inted Na?e) ?? C. Date of Delivery
41(l OY'7 ecelved by
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
Williams Peak Ranch I
1330 C R 315 3. Service Type
P ar s h a l l, CO, 86468-87021 (Certified Mall ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
2. Article mbar
(lislrrWISFer s}fsr horr? 7004 0750 0002 5692 4382
service labeq
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540