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2015-12-15_GENERAL DOCUMENTS - M2010036
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2015-12-15_GENERAL DOCUMENTS - M2010036
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Last modified
8/24/2016 6:13:24 PM
Creation date
12/15/2015 12:24:59 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2010036
IBM Index Class Name
General Documents
Doc Date
12/15/2015
Doc Name
Certified Mail Receipt
From
DRMS
To
DRMS
Media Type
D
Archive
No
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■ 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 />Rick Ensminger <br />3500 Highway 6 <br />Haxtun, CO 80731 <br />M 201OD3� <br />A. Signature <br />❑ Agent <br />'�^ <br />El Addressee <br />B. Received by (Printed Name) C. Da a of�elivike ' :ice / <br />D. Is delivery address different from item 1? Yes <br />If YES, enter enter delivery address below: <br />No <br />.0 x` -oId <br />3. SS ice Type <br />X31 Certified Mail® ❑ Priority Mail Express'" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number ?014 0150 0000 913 8 4566 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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