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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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c ntTo Joe M. & R64 Fowler ------ - - - - -- <br />r 2206 'h 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 />Joe M. & Rita J. Fowler i <br />- 2206'/ CR 207 <br />urango, CO 81301 <br />A Slgnat <br />13 Agent <br />Addressee <br />X . <br />B- vad by (Printed Name) C e <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Cemed Mail 0 Express Mau <br />0 Registered 0 Retum Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. .' <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 1 7005 0390 0002 8281 9165 <br />(f'iar►sfer from service labs _ <br />` ; PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M -ts4o <br />Ln <br />ri , X <br />Ir <br />X . <br />Postage: $ <br />$0.44 <br />Certified Fee: $ <br />$2.80 <br />Return Receipt Fee: $ <br />$2.30 Postma* <br />- � , •Here <br />Total Postage & Fees: $ <br />$5.54` <br />0 Restricted Delivery rw <br />tT (Endorsement Required) <br />rn <br />O <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 />Joe M. & Rita J. Fowler i <br />- 2206'/ CR 207 <br />urango, CO 81301 <br />A Slgnat <br />13 Agent <br />Addressee <br />X . <br />B- vad by (Printed Name) C e <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Cemed Mail 0 Express Mau <br />0 Registered 0 Retum Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. .' <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 1 7005 0390 0002 8281 9165 <br />(f'iar►sfer from service labs _ <br />` ; PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M -ts4o <br />
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