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2009-11-24_REVISION - C1984067
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2009-11-24_REVISION - C1984067
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Entry Properties
Last modified
8/24/2016 3:57:13 PM
Creation date
11/24/2009 10:07:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
REVISION
Doc Date
11/24/2009
Doc Name
Certified Return Receipt (Termination of Jurisdiction)
To
Landowners
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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C1�gu -v�7 <br />1p� <br />• Complete items 1, 2, and 3. Also complete <br />item 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 />State of Colorado <br />Division of Wildlife <br />r 6060 Broadway <br />Denver, CO 80216 <br />I A-� <br />SL--'I <br />A. Signature <br />X RECEIVED 13y E3 Agent <br />❑ Addressee - <br />B. Received by (Printed Name) f C. Date of Delivery <br />D. Is delivery address different from hem 1? ❑ Yes <br />If YES, enter lelivery address below: ❑ No <br />F <br />3. Service Type <br />❑ Certifled Mail O E)Vress Mail <br />❑ Registered ❑ Return Recelpt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(rmns rf romservicefates 7005 0392 0002 8281 9134 <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595- 02-n01 t <br />-1- <br />m <br />r-1 (Domestic Mail Only; No Insurance Coverage Provided) <br />[I <br />For <br />CO <br />rU <br />CO <br />ru Postage: $0.44 <br />° Certified Fee: <br />$2.80 uk <br />o (I Return Receipt Fee'' c <br />$2.30 <br />Cr a Total Postage &flFees: t3. <br />$5.54 <br />° <br />Total Postage & Fees <br />Ln <br />O Sent T <br />° State of Colorado <br />mot Division of Wildlife <br />or PA, <br />crry <br />----• - `6060 Broadway ----------------------------- - - - - -- <br />, �, <br />Denver, CO 80216 <br />
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