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2012-05-25_REVISION - C1980007
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2012-05-25_REVISION - C1980007
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Entry Properties
Last modified
8/24/2016 4:58:11 PM
Creation date
5/29/2012 8:14:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
REVISION
Doc Date
5/25/2012
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
WSERC
To
DRMS
Type & Sequence
SL4
Email Name
JRS
DIH
Media Type
D
Archive
No
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3. Article Addressed to: <br />PO Box 1612 <br />Paonip, CO 81428 <br />5. Received B <br />6. Signature: ( <br />a. X <br />to <br />PS Form 38 <br />UNITED STATES POSTAL SERVICE <br />SENDER: <br />■ Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />■ Pnnt 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 />7. Date of DeyF <br />Sarah Sauter — Executive Director <br />4b. Service Type <br />State of Colorado <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 215 <br />Denver, CO 80203 <br />ry <br />2- 2- <br />• <br />1d <br />7 ,- <br />• Print your name, address, and ZIP Code i thl's box • <br />C -1980 -007 <br />S L4 <br />jrs /ahh <br />Inspection Notification Letter <br />Ifiilill iiiilltiil!!1!iiF!llill!!l: Ii FIf E IIFt II 11l ii IFF I i IFI <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 />a <br />a <br />7009 2820 0003 5700 6380' <br />NFRIA -WSERC Conservation Center <br />❑ Registered ItCertified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />ri <br />eceati5er 1994 <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />ail <br />ees Paic <br />10 <br />
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