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2011-03-08_REVISION - M1979142
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2011-03-08_REVISION - M1979142
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Entry Properties
Last modified
6/15/2021 3:11:57 PM
Creation date
3/15/2011 8:51:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979142
IBM Index Class Name
REVISION
Doc Date
3/8/2011
Doc Name
Copies of certified mail receipts
From
CDOT
To
DRMS
Type & Sequence
AM2
Email Name
DMC
Media Type
D
Archive
No
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7007 1490 0003 7829 4269 <br />m? <br />nam m Will <br />rP ° v 9 i3 SB <br />w 0 3 j 3? g ?a <br />0O o m y O 9 3 hemp <br />° <br />Ell n <br />a <br />o. > <br />m? <br />CL <br />A! ? <br />? o <br />.1U N <br />(1 N <br />e Complete items 1, 2, and 3. Also complete <br />item 4 If Restricted Delivery is desired. <br />s 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 mailplece, <br />or on the front If space permits. <br />Paul & Rosemary Hertzog <br />PO Box 24 <br />M bell r.O 81640-0024 <br />Signature <br />? Agent <br />B Received by (Pfirded Name) C, Date "D " ery <br />D. Is delivery address different rom item 1? Yes <br />If YES, enter delivery address below: 13 No <br />r alled Mall 0 Express Mall <br />ay 3. fFleglstered Ice type <br />? Return Receipt for Merchandise <br />? Insured Mail ? Q.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7007 1490 0003 7829 3460 <br />(Transfer frorn service fabO .... ......- <br />PS Form 3811,.February 2004. , . Domestic Return Receipt 102595-0244640 1 <br />7007 1490 0003 7829 3460 <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />is 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 mallplece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Bureau of Land Managt <br />Attn Wendy Reynolds, Field Manager <br />455 Emerson Street <br />Craig, CO 81625-1129 <br />A. Signature <br />P:?gent <br />X p?? Addresses <br />B. Re. ved jay (Pft ame) 2 j to of Try <br />D. Is delivery address different from Item 1? ? Yes <br />If YES, enter delivery address below: <br />s. Service type <br />Of Certified Mail ? Express Mail <br />9 Registered ? Return Receipt for Merchandise <br />0 Insured mail O C.O.D. _ <br />4. Restricted Delivery? (Ektfa Fee) ? Yes <br />,a, Article. Number 7007 1490 0003 7829 4269 <br />(Nnsfer from serolce 1abeq - <br />PS Form 3811, February 2004 Domestic Return Receipt 102596-0244-1540 <br />oor a <br />C _0 <br />2 <br />SAN m m ? 9 U <br />DD 3 T c•Z ? T <br /> <br />M 68V <br /> <br />A 0 <br />N N V I ! 9 <br /> ^ <br />O <br /> <br />C 41 <br />„ <br />xD <br /> <br /> <br /> <br /> <br />
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