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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 ā(Inspection Notification)ā
From
Landowners
To
DRMS
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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U.S. Postal ServiceT. <br />rLnU CERTIFIED MAI LT. RECEIPT <br />fT1 (Domestic No <br />Insurance Coverage Provided) I <br />Er <br />psa <br />flJ I.-L -GE <br />CO <br />ru Postage: <br />C3 Certified Fee: $Uā¢44 <br />C3 Return Receipt Fee: 1AJ"$2 80 <br />_°$2:30 <br />C3 / <br />Cr (E Total Postage & Fe? s . V <br />$5.54. <br />Total Postage & Fees $ <br />r <br />LP) I i <br />O <br />C3 <br />r` William Denam <br />5111 Lyda Lane ------------- <br />Colorado Springs, CO 80504-1009 <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 />S,lpnature <br />196gent <br />V <br />W ? Addressee <br />?eceived t Printed Name) C. Dale of Delivery <br />D. Is deliiYery address different from item 1? ' 0 Yes <br />If YES, enter delivery address below: ? No <br />William Denam <br />5111 Lyda Lane <br />Colorado Springs, CO 80504-1_00 9 <br />J Service Type <br />? Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />? Yes <br />2. Article Number 7005 0390 0002 8281 9325 <br />(Transfer from service labeq <br />Ps Form 3811, February 2004 <br />Domestic Return Receipt <br />102595-02-M-1540
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