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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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Postal <br />m <br />CERTIFIED MAIL. R <br />ECEIPT <br />R1 (Domestic Mail Only; No Insuranc e Coverage Provided) <br />r-1 <br />9 <br />1 <br />U S <br />CD - <br />- <br />ru <br />C3 Postage: $0.44 <br />$2.80 <br />? Certified Fee: <br />Return Receipt Fee: , $2-.30c <br />C3 (Enc <br />'' <br /> (Eras Total Postage & Fees :; <br />M <br />o <br />e & Fees <br />ta <br />t <br />l P <br />T $ <br /> g <br />a <br />os <br />o <br />? <br />Denise Hawkins ', <br />;-`:'6F_12.--------------- <br /> or 5254 Highway 172 <br />- <br /> ---------------------- <br />CO 81303-8850 <br />6 <br /> Durango, <br />0 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 />/ - nn the front if snare nermits. <br />1. Article Addressed to: <br />Denise Hawkins <br />525lighway 172 <br />Durgo, CO 81303-8850 <br />A. Signature V ON1t'-? 1)1\49 S (PK? <br />? Agent <br />X lL,;,OIZI-Addressee <br />. <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from Item 1? ? Ye) <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? certified mail ? Express Mali <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7005 0390 X002 8281 9363 <br />(transfer from sendce labeq <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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