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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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R: COMPLETE THIS SECTION <br />Mete items 1, 2, and 3. Also complete <br />i If Restricted Delivery is desired. <br />your name and address on the reverse <br />it we can return the card to you. <br />this card to the back of the maiipiece, <br />the front if space permits. <br />Addressed to: <br />CANON CITY <br />1460 <br />:ity, CO 81215 -1460 <br />Number <br />rr from service labs <br />3811, February 2004 Domestic Return Recut <br />R: COMPLETE THIS SECTION <br />plate Items 1, 2, and 3. Also complete <br />4 If Restricted Delivery is desired. <br />your name and address on the reverse <br />at we can return the card to you. <br />h this card to the back of the maliplece, <br />the front if space permits. <br />Addressed to: <br />VTE BOARD FOR COMMUNITY <br />3ES <br />W HWY 050 <br />City, CO 81212 <br />Number <br />sr from service label) <br />3811, February 2004 Domestic Retum Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />X <br />BAZ <br />r ikz <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 />• Type <br />Oertltlad Mall 0 Express Mali <br />0 Return Receipt for Merchandise <br />0 Insured Mid 0 O.O.D. <br />4. Restricted Delivery? (Echs Fee) <br />7011 2970 0002 8497 6052 <br />A. Stuns <br />X As°2 <br />a type <br />CeWYRed Meet <br />Repletsed <br />0 Insured Nan <br />4. Restricted Delivery? (Ens Poe) <br />7011 2970 0002 8497 6083 <br />❑ Yes <br />102896-02 -M -1640 <br />COMPLETE THIS S1 =C77ON ON DELIVERY <br />❑ Addressee <br />B. Received by . Name) C. Date of Delivery <br />,iron ' ac.dt 1-2 — .23 <br />D. Is delivery address d from item 1? ❑ Yes <br />If YES, enter delivery address below: ISM: <br />O Express Mau <br />0 Retum Receipt for Merchandise <br />0 QOA. <br />0 Yes <br />SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <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 mallplece, <br />or on the front If space permits. <br />J. Article Addressed to: <br />STATE OF COLORADO <br />1127 Sherman St Suite 300 <br />Denver, CO 80203 -2398 <br />2. Article Number <br />p?arrsfer from mete Mtreq <br />P3 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 retum the card to you. <br />• Attach this card to the back of the maupieke, <br />or on the front If space permits. <br />1. Article Addressed to: <br />CASTLE CONCRETE COMPANY <br />PO Box 1030 <br />Colorado Springs, CO 80901 -1030 <br />D. Is delivery address different from Item 1? 0 Yes <br />if YES, enter delivery address below ❑ No <br />certM d Mall 0Thiptess Mail <br />Famed 0 Return Receipt for Merchandise <br />0 kissed Man 0 O.O.D. <br />4. Restricted Delver (E+ctra Fee) ❑ Yes <br />7011 2970 0002 8497 6045 <br />Domestic Return Receipt <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />102896.02 -M -164( <br />PS Form 3811, February 2004 Domestic Retum Receipt <br />10269b02- M-1640 <br />COMPLETE THIS SEC 17(...)N ON DELIVERY <br />B. Reoeved by (Printed Name) <br />A. Signature <br />X <br />❑ Agent <br />❑ Addressee <br />C. Date of Delivery <br />D. Is delivery address different from Item 1? 0 Yes <br />If YES, enter delivery address below: ❑ No <br />3 type <br />Oiled Mau 0 Express Mau <br />Registered 0 Fletum Reoelpt for Merchandise <br />0 Insured Met 0 C.O.D. <br />4. Restricted Delvaryt (Odra Fee) 0 Yes <br />2. Article Number 7011 2970 0002 8497 6106 <br />(Minster from senfIct--, <br />10259542-M -1640 <br />
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