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2011-06-27_REVISION - C1994082
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2011-06-27_REVISION - C1994082
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Entry Properties
Last modified
8/24/2016 4:34:54 PM
Creation date
6/30/2011 10:05:13 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
REVISION
Doc Date
6/27/2011
Doc Name
Certified Return Receipt (Inspection Notification)
From
Landowners
To
DRMS
Type & Sequence
SL3
Email Name
SLB
SB1
Media Type
D
Archive
No
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d SENDER: <br />o •Complete items 1 and/or 2 for additional services. <br />w <br />•Complete items 3, 4a, and 4b. <br />•Print your name and address on the reverse of this form so that we can <br />It' card to you. <br />•Attach this form to the front of the mailpiece, or on the back if space do <br />permit. <br />• ■ Write'Retum Receipt Requested' on the mailpiece below the article nu <br />▪ •The Retum Receipt will show to whom the article was delivered and the, <br />• delivered. <br />O ▪ 3. Article Addressed to: <br />d <br />E <br />o Douglas and Ann Doolin <br />co P.O. Box 729 <br />c F Hayden, CO 81639 <br />G <br />a <br />z <br />cc <br />1— <br />W <br />cc <br />• 6. Signa <br />>, X <br />ceived � y: (PrKNarra <br />Uk fs oo <br />PS Form 3811 <br />is (Addr see or.Agpnt) A <br />December 1994 <br />4b. ServicType:: <br />❑ Registered <br />❑ Express Mail <br />❑ Retum Receipt for Merchandise <br />7. Date of Delivery <br />8. Ad ( 27- / / <br />ee s ddress (O if requested <br />and fee is paid) <br />[Aso wish to receive the <br />following seNices (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />v <br />d <br />N <br />2. d Restricted Delivery <br />r <br />Consult postmas er for lee. a <br />U <br />cc <br />5103 E <br />cc <br />c <br />c <br />y <br />7 <br />7 <br />0 • <br />c <br />m <br />t <br />F <br />❑ Certified <br />❑ Insured <br />❑ COD <br />Domestic Return Receipt <br />
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