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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 MAIL. RECEIPT <br />0 <br />.? (Domestic Mail Only, No Insurance Coverage Provided) <br />CO <br />For delivery <br />FFinformation visit . . <br />F P E; ilfi .£r t L <br />Postage: $0.44 <br />E3 Certified Fee: $2.80 <br />C3 Return Receipt Fee: $2.30 ark <br />Q Total Postage & Fees s $5.54 <br />fll r _ . <br />Total Postage & Fees $ <br />Ln <br />O <br />David G & Heidi A Teraberry ------------------------ <br />5713 FIG Way ------------------------- <br />Arvada, Co 80002 <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />¦ Complete items 1, 2, and 3. Also complete A Slg <br />item 4 if Restricted Delivery Is desired. E3 t <br />¦ Print your name and address on the reverse x <br />so that we can return the card to you. - Addressee <br />¦ Attach this card to the back of the mailpiece, RIvPd by PN Name) C. D t of Delivery <br />i <br />or on the front if space permits. L''cl e- •0'- I , <br />1. Article Addressed to: D. Is delivery address different fro tem 11 Yes <br />If YES, enter delivery address eiow: ? No <br />David G & Heidi A Teraberry <br />5713 FI.9 Way <br />Arvada, Co 80002 a <br />Ce=maiiO all <br />ReReturn eipt for Merchandise <br />? Ins4. Restricted Delivery! (Extra Fee) 13 Yes <br />2 . Article Number <br />(Transfer from servicefabo 7005 0390 0202 8281 8601 <br />PS Form 3811, February 2004 Domestic Rehm Receipt <br />102505-02-rut-1540
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