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2009-12-22_REVISION - C1984067
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2009-12-22_REVISION - C1984067
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Entry Properties
Last modified
8/24/2016 3:58:03 PM
Creation date
12/23/2009 10:43:09 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
REVISION
Doc Date
12/22/2009
Doc Name
Certified Return Receipt (Inspection Notification)
From
Landowners
To
DRMS
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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A013 . -Zv??aRC??n <br />U.S. Postal Service,. <br />(Domestic CERTIFIED MAIL. RECEIPT <br />Only; .• Provided) <br />c <br />"0 F F I C I A L'. --U-S-T I <br />----------------- <br />Ln Postage: <br />Certified Fee: •44 , <br />° Return Receipt Fee: C_. j $2 80 <br />° ? $2.30 <br />° l a <br />C3 I Total Postage & Fees: <br />• : $$;54 <br />° te0' U <br />Ln Total Postage & Fees $ ' <br />° <br />co s Mark Davis, Minerals Manager <br />c3 0' Colorado State Board of Land Commissioners <br />c; 1127 Sherman Street, Suite 300 <br />Denver,:] CO 80203 <br />H-ML, 11. <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 />A. Signature <br />x ? [? I )p C3 Agent <br />?..J n, rcr?- ? Addressee <br />B. Received by (Printed Name) C. Da a of Del' ry <br />D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />Mark Davis, Minerals Manager <br />Colorado State Board of Land Commissioners <br />1127 Sherman Street, Suite 300 <br />Denver, !I- CO 80203 ?rype <br />armed Mail ? Express Mail <br />I o Registered 0 Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 0500 0000 5586 8873 <br />(transfer from seMce label) <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540
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