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2010-01-04_REVISION - M1980131
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2010-01-04_REVISION - M1980131
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Entry Properties
Last modified
6/16/2021 2:19:14 PM
Creation date
2/10/2010 2:31:30 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980131
IBM Index Class Name
REVISION
Doc Date
1/4/2010
Doc Name
Certified return receipt
From
Lafarge West, Inc.
To
DRMS
Type & Sequence
SO2
Email Name
GRM
Media Type
D
Archive
No
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?- , y . Zaf r.(a?alrtaav? <br />ru $A.22 ?u ?Z 30 <br />posta. Fee ee: <br />C,00%e ?eCetpt $6 32 <br />Postmark <br />p etVC - & Feed'%;:. Here <br />`postage <br />•`ota ree <br />_.,.nnt Required) <br />m <br />rL Total Postage & Fees <br />m <br />ent To <br />.. <br />CO Robert O. Ray <br />t= <br />C3 Sfreei,Apt NY Lafarge West, Inc. <br />or PO Box No. 10170 Church Ranch Way, ------------- <br />- <br />State, ZIP+4 Ste. 200 <br />Westminster, CO 80021 <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 cans to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Robert O. Ray <br />Lafarge West, Inc. <br />10170 Church Ranch Way <br />Ste. 200 <br />Westminster, CO 80021 <br />A. Signature <br />x ? Agent <br />? Addre: <br />B. Received by (Printed Name) C. Date of Deli <br />-:.] I ?- V4 <br />D. Is delivery address different from item 1? I--] Yes <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />? certified mail ? Express mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />6 P..trirfn.i n-11......n 2.-- r- <br />1 - - ---- °•• • " i U Yes <br />4. Ania er 7008 323 0°° °2 7252 7244 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt <br />102595-02-M-1540 <br />S? 02
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