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2013-03-01_REVISION - M1977193
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2013-03-01_REVISION - M1977193
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Entry Properties
Last modified
6/15/2021 5:45:58 PM
Creation date
3/5/2013 9:19:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977193
IBM Index Class Name
REVISION
Doc Date
3/1/2013
Doc Name
RETURNED SIGNATURE CARDS, CERT. MAIL RECEIPT & AFFIDAVIT OF PUBLICATION
From
OPERATOR
To
DRMS
Type & Sequence
AM5
Email Name
TC1
Media Type
D
Archive
No
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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 retum the card to you. <br />• Attach this card to the back of the maNpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />AGGSOURCE, LLC <br />203 Tunnel Drive <br />Canon City, CO 81212 <br />PS Form 3811, February 2004 <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 refire the card to you. <br />• Attach this card to the back of the mallpiece, <br />or on the front if space penults. <br />1. Article Addressed to: <br />TEZAK HEAVY EQUIPMENT <br />205 Tunnel Drive <br />Canon City, CO 81212 <br />2. Article Number <br />(Transfer from omit <br />PS Form 3811, February 2004 Domestic Return Receipt <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 ttte card to you. <br />• Attach this card to the back of the rrakriece, <br />or on the fruit If space permits. <br />1. Article Addressed to <br />US BLM <br />3028 E Main St. <br />Canon City, CO 81212 <br />Domestic R t um Receipt <br />X <br />7011 2970 0002 8497 6090 <br />CO/'PLETE S .._ <br />by( <br />2 ' Article N1°"ber 7011 2970 0002 8497 6069 <br />(Asnsfierhom service <br />D. Is delivery address celferent from item 1? ❑ Ye <br />tf YES, enter delivery address below: 71 No <br />3. Service lype <br />g Ceritified Mel 0 apses Mail <br />Registered 0 Return Receipt for Meru <br />0 Inured Mall O C.111). <br />4. Restricted De very? Pant Fee) ❑ Yes <br />10e6e5.0241-1540 <br />C01:,. _E E. THIS SECT:C J ON DELIVER <br />Tr <br />Agent <br />❑ Addressee <br />C. Dets of Delivery <br />D. Is deivery address different from i em 1? y Yes <br />If YES, enter delivery adckees below: No <br />Cogged WI 0 Epees <br />1AaN <br />Regleh eBd 0 Holum Receipt for Merchandise <br />0 Insured Mall 0 C.O.D. <br />4. Restricted Delivery? tEcha Fee) ❑ Yes <br />102595-024A-1540 <br />LETE THIS SECTION ON DELIVERY <br />SENDER: COMPLETE THIS SECTION <br />D. Is delivery address different tan item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Certified Mail 0 Boras Mall <br />
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