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2009-11-24_REVISION - C1984067 (2)
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2009-11-24_REVISION - C1984067 (2)
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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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_ <br />Certified Fee: $0.44 <br />- $ 2.80 <br />o Return Receipt Fee: �" <br />C3 $2.30 �` <br />C3 <br />M a Total Postage &Fees C 5.54 'r, <br />Er M <br />(Endorsement Regwreay <br />M CP <br />Total Postage & Fees <br />Ln <br />O <br />° Price L. & Janise J. Colman ---- - - -- -- <br />or 465 Terlun Dr. ---- - - - - -- <br />Q 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 />Price L. & Janise J. Colman y , <br />465 Tedun Dr. <br />Durang CO 81301 <br />to <br />by . <br />D <br />(Printed Name) I G. <br />D. Is delivery address different from item 1? 0 Yes <br />: ❑ No <br />If YES, enter delivery address below . <br />3. Service Type <br />0 Certified Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mail 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7005 0390 0002 8281 8991 <br />(rransfer from service iabeO 102595-02-M-1540 <br />PS Form 3811 February 2004 Domestic Return Receipt <br />
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