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2009-12-22_REVISION - C1981042
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2009-12-22_REVISION - C1981042
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Entry Properties
Last modified
8/24/2016 3:58:03 PM
Creation date
12/23/2009 10:40:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981042
IBM Index Class Name
REVISION
Doc Date
12/22/2009
Doc Name
Returned Certified Mail Receipt for (Inspection Notification)
From
Landowners
To
DRMS
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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CERTIFIED MAILTM RECEIF <br />(Domestic Mail Only; No Insurance Coverai <br /> <br />co <br /> <br />o D..Mnas _ <br />Postage: <br />$0.44-' <br />C3 Certified Fee: $2.80 k <br />30; <br />$2 <br /> (En Return Receipt Fee: . <br />O <br />M <br />(En <br />Total Postage & Fees: <br /> <br />$5:5,4' <br /> <br />Ll <br />E3 <br />° <br />171-- ? <br /> <br />Charles E. & Sandra L <br /> <br />. Olson ___________________ <br /> 900 Cherry Gulch Rd. <br /> Durango, CO 81301 <br />LUME rr <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 matiptece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Charles E. & Sandra L. Olson <br />y Gulch Rd. <br />900 ChW <br />Durango, CO 81301 <br />A. Signature ?Q E3 Agent <br />X 0 Addre <br />B. Re elved by (Printed Name) C. D e of Del <br />,SA njDr' /- oz-S-0 11-20-1 <br />D. is delivery address different from Item 1? 0 E3 Yes <br />No <br />if YES, enter delivery address below: <br />3. Service 1Ype <br />? Certified Mats 0 Express Mali <br />0 Registered ? 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 9394 <br />(ransfer from service labs <br />Domestic Return Receipt 102595.02-M-1540 <br />PS Form 3811, February 2004
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