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2011-02-01_ENFORCEMENT - M1995023
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2011-02-01_ENFORCEMENT - M1995023
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Entry Properties
Last modified
8/24/2016 4:29:38 PM
Creation date
2/2/2011 12:16:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1995023
IBM Index Class Name
ENFORCEMENT
Doc Date
2/1/2011
Doc Name
Return Receipt- Modified Consent Form
From
Corkle Construction
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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o'e <br />l <br />R <br />if <br />¦ Complete items 1, 2, and 3. Also complete A. Sign ture <br />item 4 if Restricted Delivery is desired. X ? Agent <br />¦ Print your name and address on the reverse [3 Addressee <br />so that we can return the card to you. B. Received by (Printed Name) C. Date of Delivery <br />. <br />¦ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />elivery address different from item 1? ? Yes <br />1. Article Addressed to: enter delivery address below: ? No <br />tW kt UAKr fi 4* 0 <br />f,P,; ??ihK?? ?NtiTPhvG ? OI <br />Q ?. 15 ex 3106, cA <br />lce Type <br />CIO ':FO 8048 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 3230 0002 7253 3252 <br />(Transfer from service label) l <br />PS Form 3811, February 2004 <br />Domestic Return Receipt 102595-02-M-1540 <br /> <br />i <br />UNITED STATES POSTAL SERVICE First-Class Mail <br />Postage & Fees Paid j <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4 in this box • <br />State of Colorado <br />Department of Natural Resources <br />- 'Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203 Spec QS? <br />FiFile gSod; <br />K? GvM?rENi ?,r( <br />?ifi?1?/triltllf?lF}lf1?11IIIIIIliIIfit111111111111111iIA IIII <br />
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