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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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( CERTIFIED MAIL,. RECEIPT <br />Er <br />rq For delivery information visit our website at www.usps.corn <br />CO <br />N <br />Co <br />nLl Postage: $0.44 <br />° G Certified Fee: <br />0 $2.80 <br />C3 Return F Return Receipt 6k $2.30 <br />(Endomemen <br />m �dod Total Postage... Fees $5.54 <br />C3 8�3 <br />U-1 Total Postage & Fees 1 $ <br />C3 <br />O <br />eM <br />Gina Doerner <br />-------------------------------- <br />°� 274 Cutler Dr <br />F <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 />Gina Doerner <br />274 Cutler Dr <br />Durango, CO 81301 <br />A. <br />❑ Addressee <br />B- ece ed by ( P, Nh i e) C. Date of Delivery <br />0 Y�r � � /0 <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. SeMw Type <br />• Certified Mail 13 Express Mail <br />• Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) 13 Yes <br />2. Article Number 7005 0390 0002 8281 9066 <br />(Transfer from service labeo <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02- M-1540 <br />
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