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2012-05-21_REVISION - C1980007 (3)
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2012-05-21_REVISION - C1980007 (3)
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Entry Properties
Last modified
8/24/2016 4:57:57 PM
Creation date
5/22/2012 1:08:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
REVISION
Doc Date
5/21/2012
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
Lazy H Ranch
To
DRMS
Type & Sequence
SL4
Email Name
JRS
SB1
Media Type
D
Archive
No
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3. Article Addressed to: <br />L Escher — Ranch Manager <br />Laity H Ranch <br />cc 44)64 Highway 133 <br />Paonia, CO 81428 <br />z <br />cc' 5. Received By: (P ' ame) <br />ut <br />G / . CF <br />g 6. Signs re: (Addressee orAg'en?) <br />X . <br />• '� JP a�� f i <br />PS i -o 3811, December 1994 <br />UNITED STATES PO§ , SI 1iibEtU,. C 1 lo ti R; C. <br />• Print your name, address, and ZIP Code 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 <br />SENDER: <br />• Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />• Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />• Write 'Return Receipt Requested' on the mailpiece below the article number. <br />•The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />C -1980 -007 <br />S L4 <br />jrs /ahh <br />i j fy 7F Inspection Notification Letter <br />II uJ i ll iiissIsIl l l ?3l iris ! i r4I Jif iilif ll��11,�� t j,�l i l l l <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />2. ❑ Restricted Delivery <br />Consult postmaster for fee. <br />7008 3230 0002 7252 9439 <br />4b. Service Type <br />❑ Registered Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Delivery <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />
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