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2013-07-26_REVISION - C1982057 (4)
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2013-07-26_REVISION - C1982057 (4)
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Entry Properties
Last modified
8/24/2016 5:22:56 PM
Creation date
7/29/2013 1:01:58 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1982057
IBM Index Class Name
REVISION
Doc Date
7/26/2013
Doc Name
Certified Return Receipt ( Inspection Notification Letter)
From
Hayden Public Library
To
DRMS
Type & Sequence
SL5
Email Name
JLE
SB1
Media Type
D
Archive
No
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RECEIVED <br />JUL 2 6 2013 <br />DMSION OF RECLAMATION <br />MINING AND SAFETY <br />UNITED STATES POSTAL SERVICE <br />E s Mail & Fees Paid . G -10 <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 Street, Suite 215 - <br />Denver, CO 80203 JLE, SB1 <br />C -1982 -057 <br />SL-5,07/18/13 <br />Inspection Notification Letters <br />111i11�llli�lsll !l�Ill!'lllililtl�liiilut,� .._ <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 />1. Article Addressed to: <br />Hayden Public Library <br />P.O Box 1813 <br />201 E Jefferson Avenue <br />Hyaden, CO 81639 <br />A. <br />❑ Agent <br />❑ Addre <br />B. Received by (Printed Name) C. Rate of Pelivery <br />D. Is delivery address different from item 1 ❑ s <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Maii ❑ Express Mail <br />❑ Registered ❑ Retum Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7311 3500 0002 9637 9309 <br />(Transfer from service label) - - <br />PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 540 <br />
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