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2010-04-14_REVISION - C1981010 (4)
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2010-04-14_REVISION - C1981010 (4)
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Entry Properties
Last modified
8/24/2016 4:04:01 PM
Creation date
4/26/2010 9:08:27 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
REVISION
Doc Date
4/14/2010
Doc Name
Certified Return Receipt (Inspection Notification)
Type & Sequence
SL11
Email Name
RDZ
Media Type
D
Archive
No
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LOY/) Postal - - - ------------- <br /> <br /> <br />REC <br />CERTIFIED e <br />EIPT <br />u1 Domestic No . :. Provided) <br /> <br />m <br />Ln Postage: $0.44 <br />r3 <br />Certified Fee: <br />. $2.80 <br />0 <br />Ln Return Receipt Fee: f $2.30 <br />-r <br />Total Postage & Fees: 'ark <br />$5.54 e <br />C3 ( <br />C3 <br />,. <br />(Endorsement Fequired) <br />O <br />rq Total Postage & Fees <br /> I <br />Co <br />Lane Osborn ............. <br />............................... <br />O Colorado State Land Board <br />----------------- <br />[ti .m..__....._. <br />PO Box 1094 ???....,...•? <br /> Craig, CO 81626-10^4 <br /> <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 />r -- - <br />Lane Osborn <br />Colorado State Land Board <br />PO Box 1094 <br />Craig, CO 81626-1094 <br />A. Signature <br />? Agent <br />X ?/ 'Coe a; ? ? Addressee <br />B. Received by (Printed Name) Date of Delivery . <br />C2fi L mr, gcow <br />D. Is delivery address different from Item 17 ? Yes <br />If YES, enter delivery address below: ? No <br /> <br />3. 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) ? Yes <br />2. Article Number 7008 114 0 0004 5 015 3955 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M"1540
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