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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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M <br />0 <br />co <br />Postage: ,/` <br />Certified Fee: ! T <br />Return Receipt Fee: ' <br />E3 <br />m Total Postage & Fees: $554 <br />C3 <br />Total Postage & Fees <br />ul <br />C3 Tent To <br />° Gary W. Virginia M. Harbison --- - - - - -- <br />o OB `, 2261 CR 207 <br />- -- - - - - -- <br />Durango, CO 81301 <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 />Gary W. Virginia M. Harbison' <br />2261 CR 207 <br />Durango, CO 81301 <br />[I Agent <br />G // � ❑ Addre <br />B. Received by (Printed Name) C of li <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. ArticieNumber 7005 0390 0002 8281 8403 <br />(Transfer from service label) <br />Domestic Return Receipt 102595 - 02 - M - 154' <br />Ps Form 3811, February 2004 <br />
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