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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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a <br />Co <br />rru Postage: $0.44 <br />co Certified Fee: $2,80 <br />ru Return Receipt Fee: $2.30 <br />C3 <br />O RE � -, � <br />(Endon Toth "P'�ge &•Fees: $5.54 <br />o ' `! I <br />E , Restricted DelNery Fee <br />M (Endorsement Required) 1 <br />O <br />Total Postage & Fees <br />Lr) -; <br />C3 S ent `- Mark"Condiotti <br />-------- - - - - -- <br />Wiiw AWf_W2 ---------- 3790 CR 207 <br />or PO Box No. <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 />Mark Condiotti <br />3790 CR 207 <br />Durango, CO 81301 <br />A. SignaP <br />❑ Agent <br />Service,,, <br />❑ Addressee <br />B. R e <br />Name) <br />C. Dat of Delivery <br />1 c� Z z: <br />Postal <br />W Yes <br />If YES, enter delivery address below: <br />❑ No <br />F <br />TIFIED <br />MAILTM <br />RECEIF <br />• Registered ❑ Return Receipt for Merchandise ' <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />stic Mail <br />Only; <br />No Insurance <br />Covera <br />a <br />Co <br />rru Postage: $0.44 <br />co Certified Fee: $2,80 <br />ru Return Receipt Fee: $2.30 <br />C3 <br />O RE � -, � <br />(Endon Toth "P'�ge &•Fees: $5.54 <br />o ' `! I <br />E , Restricted DelNery Fee <br />M (Endorsement Required) 1 <br />O <br />Total Postage & Fees <br />Lr) -; <br />C3 S ent `- Mark"Condiotti <br />-------- - - - - -- <br />Wiiw AWf_W2 ---------- 3790 CR 207 <br />or PO Box No. <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 />Mark Condiotti <br />3790 CR 207 <br />Durango, CO 81301 <br />A. SignaP <br />❑ Agent <br />X <br />❑ Addressee <br />B. R e <br />Name) <br />C. Dat of Delivery <br />1 c� Z z: <br />D. Is delivery ddress different from item 1? <br />W Yes <br />If YES, enter delivery address below: <br />❑ 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) <br />❑ Yes <br />2. Article Number <br />(Transfer from service lab 7005 0390 0002 8281 8434 <br />102595-02 -M -1540 <br />PS Form 3811, February 2004 Domestic Return Receipt <br />
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