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2009-11-24_REVISION - C1984067 (2)
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2009-11-24_REVISION - C1984067 (2)
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Entry Properties
Last modified
8/24/2016 3:57:13 PM
Creation date
11/24/2009 10:25:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
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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l <br />m Postage: $0.44 <br />Co Certified Fee: <br />2.80 <br />ti Return Receipt Fee: $2.30 <br />° Total Postage & Fees: $5 54 <br />Er (End.. -- -- - •' - <br />Restricled Delivery Fee <br />(Endorsement Required) <br />m � <br />C3 $ D <br />Total Postage &Fees <br />Ln y � <br />C3 <br />David G & Heidi A Teraberry <br />5713 FIG Way <br />------------------ <br />Arvada, Co 80002 <br />late hems 1, 2, and 3. Also complete <br />■ Comp is desired. <br />estricted Delivery <br />■ Print your name and address on th ere verse <br />item 4 if R <br />so that we can r oethe back of the mailpiece, <br />■ Attach this card <br />to <br />or on the front if sp ace Permits. <br />t , Article Addressed to: <br />David G & Heidi A Teraberry <br />A. signature <br />Agent <br />X�c nNa�m(e1 D ry <br />Date of Delive <br />B. Received b?�� ted� <br />�� differerrt from item 1 ? � Yes <br />D. Is defrvery address [] No <br />If YES, enter delivery address below: <br />5713 FIG Way 3. Service � <br />Arvada, Co 80002 0 re <br />❑ Insured Mail <br />4. ResVlcted pelivel <br />_ 7005 0390 0002 <br />2, Article Number <br />(transfer from service laben <br />PS Form 3811, February 2U04 <br />❑ O PI's" Mail for Merchandise <br />E3 Re rn Receipt <br />❑ C.O.D. <br />n (� Fee) E3 Yes <br />8281 9271 <br />Domestic Retum Receipt <br />
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