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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 />r,: <br />CERTIFIED MAIL. RECE <br />IPT <br />M <br />Ir (Domestic <br />, <br /> <br />cc. . <br /> <br />.. <br />rv <br />co <br />$0.61 <br />o <br />° Postage" <br />Certified Fee: $2.80 <br />$2.30 , k, <br />E3 tE Return Receipt Fee: <br />C3 <br />Er <br />m F <br /> <br />(I, Total Postage & Fees: $5.71 <br />b <br />C3 $ <br />...swge !£ Fees <br />T? <br /> .__ <br />ul <br />C' <br />r Malberg Family Trust ._______ _______________________________ <br /> 512 Cherry Gulch ........ ............................... <br /> Durango, Co 81301 <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 />Malberg Family Trusf <br />542 Cherry Gulch j <br />Durpngo, Co 81301 <br />A. Signature ? Agent <br />X ? Addre <br />B. ecelved ( Printed ame) C. D?fe of DPI <br />Is dellvVry address different frt*ttem 17 ` V Ye: <br />It YES, enter delivery address below: ? No <br />3. Service Type <br />? Certified Mail ? E)press Mail <br />17 Registered 0 Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? p &a Fee) 0 Yes <br />2. Article Number 7005 0390 0002 8281 9370 <br />(transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 10259502-M"1540)
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