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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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r-1 .. <br />IL <br />ca <br />Postage: <br />E3 Certified Fee: <br />M <br />Return Receipt Fee: <br />(E <br />Er I Total Postage & Fees <br />E, E I ---- -- <br />0 <br />u"1 Total Postage & Fees I $ <br />E3 <br />I` Denise Hawkins <br />5254 Highway 172 <br />Durango, CO 81303 -8850 <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 />Denise Hawkins <br />5254 Highway 172 <br />Durango, CO 81303 -8850 <br />A. Signature 0 Agent <br />X, <br />p ❑ Addressee . <br />B. Received y ( rioted ame) C. Date of Delivery <br />D. s delivery ad diffe f rr1 <br />B Yes <br />If YES, enter delivery d ss below: 1 <br />s�Z 6 �iCl�l <br />3 rviC0 Type <br />I Certified Mail 0 Express Mall <br />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 8472 <br />i <br />(Transfer from service label) <br />Domestic Return Receipt <br />PS Form 3811 February 2004 <br />102595-02 -M -1540 <br />U.S. <br />Postal <br />Service,, <br />CERTIFIED <br />MAILM <br />RECEIPT <br />(Domestic <br />Mail <br />Only; <br />No Insurance <br />Coverage <br />Provided) <br />r-1 .. <br />IL <br />ca <br />Postage: <br />E3 Certified Fee: <br />M <br />Return Receipt Fee: <br />(E <br />Er I Total Postage & Fees <br />E, E I ---- -- <br />0 <br />u"1 Total Postage & Fees I $ <br />E3 <br />I` Denise Hawkins <br />5254 Highway 172 <br />Durango, CO 81303 -8850 <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 />Denise Hawkins <br />5254 Highway 172 <br />Durango, CO 81303 -8850 <br />A. Signature 0 Agent <br />X, <br />p ❑ Addressee . <br />B. Received y ( rioted ame) C. Date of Delivery <br />D. s delivery ad diffe f rr1 <br />B Yes <br />If YES, enter delivery d ss below: 1 <br />s�Z 6 �iCl�l <br />3 rviC0 Type <br />I Certified Mail 0 Express Mall <br />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 8472 <br />i <br />(Transfer from service label) <br />Domestic Return Receipt <br />PS Form 3811 February 2004 <br />102595-02 -M -1540 <br />
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