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2012-12-24_REVISION - C1980006
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2012-12-24_REVISION - C1980006
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Entry Properties
Last modified
8/24/2016 5:11:38 PM
Creation date
12/27/2012 7:37:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980006
IBM Index Class Name
REVISION
Doc Date
12/24/2012
Doc Name
Certified Return Receipt (Inspection Notification)
From
Joe Sessions
To
DRMS
Type & Sequence
SL5
Email Name
RDZ
DIH
Media Type
D
Archive
No
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1. Article Addressed to: <br />Joe Sessions <br />P.O. Box 1076 <br />Walden, CO 80480 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />UNITED STATES POSTAL SERVICE <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 />• Sender: Please print your name, address, and ZIP +4 in this box • <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHERMAN S T, SUITE 215 <br />DENVER, �� �> <br />C. 1 980_p06 <br />\)k-C) �,, �Q11 or, Rev P * Notif Lett <br />i � FP sated inspection <br />A. Signature <br />X <br />7009 2820 0003 5700 6717 <br />Domestic Return Receipt <br />3. Service Type <br />❑ Certified Mall <br />❑ Registered <br />❑ Insured Malt <br />4. Restricted Delivery? (Extra Fee) <br />COMPLETE THIS SECTION ON DELIVERY <br />IA •, <br />B. Received by (Printed Name) <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />❑ Express Mail <br />❑ Return Receipt for Merchandise <br />❑ C.O.D. <br />❑ Yes <br />102595 -02 -M -1540 <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G -10 <br />
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