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2011-10-20_REVISION - M1988048 (4)
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2011-10-20_REVISION - M1988048 (4)
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Last modified
6/15/2021 3:11:58 PM
Creation date
10/21/2011 10:54:35 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988048
IBM Index Class Name
REVISION
Doc Date
10/20/2011
Doc Name
Adequacy Response #1
From
Environment, Inc.
To
DRMS
Type & Sequence
AM2
Email Name
ECS
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION <br />• Complete items 1, 2, and 3. Also complete : r. <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 maiipiece, <br />or on the front if space permits. <br />COMPLE, E THIS SECTION ON DELIVERY <br />gnature <br />` X . . - . ❑ Agent <br />X �(�`s �^ ❑ Addressee <br />by by (Printed Name) <br />• c v , W , ese- <br />C. p -te of • -livery <br />C Z <br />1 JC I <br />D. Is delivery address different from Item 1? Y Yes <br />If YES, enter delivery address below: ❑ No <br />1. Article Addressed to: <br />Keith Weise <br />1770 Tabeguacho Mtn. Dr. <br />Loveland, CO 80538 <br />3. sSeeType <br />B Certified Mail ❑ ,press Mall <br />❑ Registered dr Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number <br />(Transfer from service Labe° <br />7010 1670 0001 7820 9928 <br />PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 <br />SENDER: COMPLETE THIS SECTION <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 />COMPLETE THIS SECTION ON DELIVERY <br />A. Signature <br />X 'Fa•"Agent <br />� ❑ Addressee <br />_- <br />. i <br />C. D -te of 1 -livery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: I No <br />1. Article Addressed to: <br />Richard E Lewis <br />9848 Stevenson Ave. <br />Carr, CO 80612 <br />3. Se ceType <br />Certified Mail OfrpeSS Mall <br />❑ Registered L7 Return Receipt for Merchandise 1 <br />❑ Insured Mali ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. ( from se <br />(Transfer /abeQ <br />7 010 1670 0001 7 818 1538 <br />S. <br />a <br />0 <br />CD <br />WNN <br />n o`ro <br />n OO <br />lD Fi <br />rt <br />0 <br />obi- td <br />O N f1 <br />cn o�O <br />N (D <br />Fi <br />rt <br />r- <br />(D <br />N <br />PS Form 3811, February 2004 <br />Domestic Return Receipt <br />102595-02- M <br />c 0 <br />• <br />om <br />O< <br />z <br />053 <br />z _ <br />0 z <br />0 O <br />z <br />m <br />73 <br />O <br />O <br />TI <br />O <br />T1 <br />Z <br />O <br />m <br />D <br />m <br />r <br />m <br />73 <br />0 <br />7J <br />D <br />m <br />r <br />m <br />0 <br />o. c <br />m <br />co co <br />N 9 <br />o <br />-' <br />� 03 <br />
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