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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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ru t e <br />M <br />. �. <br />M Postage: $0. <br />4 <br />° s Certified Fee: $2 <br />C3 (Fodor Return Receipt Fee: o $2.30 - ' <br />co <br />Restri p (Fodor 9 e A00 <br />-I- Total Postage & Fees: $5.5 <br />T otal, d <br />r� -� --, o� r _a ti , �15 <br />Kit Page, District Manager <br />S Colorado State Board of Land Commissioners <br />ED C3 :e, Southwest District <br />r- o P.O. Box 88 <br />305 Murphy Drive, Suite A ---------------------------------------- <br />Alamosa, CO 81101 <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 />A. <br />X <br />Agent <br />Addressee <br />1. Article Addressed to: <br />Kit Page, District - Manager <br />Colorado State Board of Land Comm <br />Southwest District <br />P.O. Box 88 <br />305 Murphy Dnve, Suite A <br />Alamosa, CO 81101 <br />B. Received by (Pri ed Name) C. Da of / D elivery <br />/ t �� 9� 9 <br />D. Is delivery address ' erent from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mail ❑ Express 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 />(transfer from service labeq 700 8 114 0 0 03 443? 16 3 2 <br />PS Form 3811, February 2 -Domestic Return Receipt 102595-02-M-1540 <br />
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