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2012-07-24_REVISION - C1981008 (3)
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2012-07-24_REVISION - C1981008 (3)
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Entry Properties
Last modified
8/24/2016 5:03:59 PM
Creation date
7/25/2012 1:33:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
REVISION
Doc Date
7/24/2012
Doc Name
Certificate Return Receipt (Inspection Notification Letter)
From
Montrose County
To
DRMS
Type & Sequence
SL13
Email Name
MLT
SB1
Media Type
D
Archive
No
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UNITED STATES P } y '' ,kil9g =R. " w,i'f (, <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 />1. Article Addressed to: <br />Brian W. Wilson, P.E. <br />Montrose County <br />Director of Public Works <br />949 North 2nd Street <br />Montrose, CO 81401 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />SENDER: COMPLETE THIS SECTION <br />A. Si <br />X <br />1 <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />S 1 Al t OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER 03 <br />Re <br />"" 4 7r1? anon <br />pivlsion o` and saet' <br />Mining <br />C1981 -008 <br />SL -13 <br />Inspection Notification letter <br />mlt /ahh <br />COMPLETE THIS SECTION ON DELIVERY <br />a <br />B. ReceIVed by (printed Name) <br />K Ve ) <br />D. Is delivery address different from Item 1? ❑ Yes <br />If YES, enter delivery a : ❑ No <br />/ : <br />c- <br />N <br />CO <br />3. Service Type \s _ <br />❑ Certified Mail <br />❑ Registered turn <br />❑ Insured Mall ❑ C.O.D. <br />.d <br />R - • <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6465 <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />cc <br />Domestic Return Receipt <br />t for Merchandise <br />❑ Yes <br />102595 -02 -M -1540 <br />
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