2013-06-05_PERMIT FILE - M2012052 ‎(4)‎

• Permit No: M2012052
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/5/2013
• Doc Name: Completed 110d Permit Application
• From: Providence Mining, LLC
• To: DRMS
• Email Name: TC1
• Media Type: D
• Archive: No

rO (Domestic Mail Only; No Insurance Coverage Provide i
•
kOLIkI kldcG461k L. U, E
M
CO
Q' Postage
$ $0.46
0662
M
Certified Fee
$3.10
03
Q
Postmark
$2.55
Q Return Receipt Fee
Q (Endorsement Required)
Here
Q Restricted Delivery Fee
(Endorsement Required)
$0.00
Q
$ $(i.11
Total Postage &Fees
06/04/2013
rU
Sent o—� " I
1e�`2i ��!'n' Ot 1 Cc; %3 :�1tJR`-7Gr�
Q , . --
�
................................................. -
-. .. - - --- - -
Q 3refipNo ;
� or PO Box No. g L 0 K-e � 5
------ - - - - -- - C- y-- sa- e, Z-- I-P -+- 4 ----
PS Form 3800, August 2006 See Reverse foi InstrUC110;IS