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2012-07-30_REVISION - C1981008 (2)
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2012-07-30_REVISION - C1981008 (2)
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Entry Properties
Last modified
8/24/2016 5:04:21 PM
Creation date
8/6/2012 9:16:10 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
REVISION
Doc Date
7/30/2012
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
Carl N. Teresa Benson
To
DRMS
Type & Sequence
SL13
Email Name
MLT
SB1
Media Type
D
Archive
No
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RECEIVED <br />JUL 30 7012 <br />Division or Keclamation, <br />Mining and Safety <br />1. Article Addressed to: <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />UNITED STATES POSTAL S`4�� #, ? r� I I <br />1 Y 'tir 1. I •\ Y1 F A •M Y� <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 />•] tiT •.'4oi•tR.:Y+nD:+ i }� ,R£S�n':��, X�.. �rr� <br />• Sender: Please print your name, address, and ZIP +4 in this box • <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by (P4 ted Name) <br />e;i r9/ <br />A. Sig•= re <br />x <br />❑ Agent <br />❑ Addressee <br />C. Date of Del'very <br />❑ <br />Carl N. and Teresa L. Benson <br />H1 -Box 942 <br />Sonoita, AZ 85637 <br />SiAl Jb UP LULORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER, CO 80203 <br />D. Is delivery address different from Item 1 <br />if YES, enter delivery address below: ❑ No <br />3. Service type <br />❑ Certified Mall ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />7009 2820 0003 5700 6458 <br />Domestic Return Receipt <br />-,,First-Class Mail <br />i <br />C1981 <br />SL -13 <br />Inspection Notification letter <br />mlt/ahh <br />Yes <br />❑ Yes <br />102595 -02 -M -1540 <br />
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