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2009-11-24_REVISION - C1981042
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2009-11-24_REVISION - C1981042
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Entry Properties
Last modified
8/24/2016 3:57:13 PM
Creation date
11/24/2009 10:07:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981042
IBM Index Class Name
REVISION
Doc Date
11/24/2009
Doc Name
Certified Mail Receipt (Termination of Jurisdiction)
To
Landowners
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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Postage: <br />o Certified Fee: $2'80 ,ark <br />C3 Return Receipt Fee: $2.30 <br />Er Total Postage & Fees: $5.54 <br />m , <br />C3 $ <br />Total Posta & Fees - <br />E3 F EJM Associates, LLC <br />'` p . O. Box 180 <br />a Hesperus, Co 81326 <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 />EJM Associates, LLC <br />P.O. Box 180 <br />Hesperus, Co 81326 <br />A. Signature <br />X N� n /yam <br />gent <br />TTT ❑��� , <br />B. R by (Printed Name) <br />C. Date of Delivery . <br />D. Is delivery address diffe item 1? <br />0 Y- <br />If YES, enter delivery address below: <br />❑ No <br />3. Service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise , <br />❑ Insu Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7005 0390 0002 8281 9202 <br />(Transfer from service label) <br />Ps Form 3811 February 2004 Domestic Return Recelpt to25s�o2'M as°° <br />
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