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2010-08-17_REPORT - M1984043 (2)
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2010-08-17_REPORT - M1984043 (2)
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Entry Properties
Last modified
8/24/2016 4:19:06 PM
Creation date
8/25/2010 9:56:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1984043
IBM Index Class Name
REPORT
Doc Date
8/17/2010
Doc Name
Returned Certified Mail Receipt (Reports)
From
Pelino, Inc.
To
DRMS
Media Type
D
Archive
No
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1y)_ ?q8y -oy3 <br />?-i7-1D I <br />I <br />I <br />I <br />\)9_1iAS <br />1 <br />I <br />I <br />I <br />} <br />I <br />I <br />i <br />7 <br />1 <br />UNITED STATES POSTAL SERVICE <br />First-Class Mail <br />Postage & Fees Paid <br />LISPS <br />Permit No. G-10 <br />• Sender: Please-print your name, address, and ZIP+4 in this box--*, <br />STATE OF COLORADO AUG 2 - <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFE11"W1€1 FW, <br />1313 SHERMAN STREET, SUITE 215 AAiAIng sisd 9*0y <br />DENVER, CO 80203 <br />Spec. Niel <br />File # 1j-tQ$L1-0`{S <br />?R,??s ?-1"t-?D <br /> <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 />Mr. Scott Pelino <br />Pelino, Inc. <br />P.O. Box 5049 <br />33551 Cr. 361 <br />Buena Vista, CO 81211 <br />A. S' nat <br />X ? ? Agent <br />Addressee <br />ived by (Printed Name) C to of D liv <br />D. Is delivery address different from item 11 ? 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 />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number <br />(fransferfrom service iabeq 7008 3230 0002 7253 0992 <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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