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2016-04-11_REVISION - C1981008 (2)
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2016-04-11_REVISION - C1981008 (2)
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Entry Properties
Last modified
8/24/2016 6:20:41 PM
Creation date
4/18/2016 8:46:42 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
4/11/2016
Doc Name
Certified Return Receipts (Inspection Notification)
From
Bud Benson
To
DRMS
Type & Sequence
SL18
Email Name
BFB
DIH
Media Type
D
Archive
No
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UNITED STATES POSTA�v - )T .;�'���' <br />V+1 :r� <br />• Sender: Please print your name, address, anAVgT11 in his <br />State of Colorado�� RErAi� <br />Department of Natural Resources p�S10N PNP SAFEST <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 C-1981-008 <br />Denver, CO 80203 SL -18 <br />bfblahh Inspection <br />Notification <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 />A. Signature <br />X ❑ Agent <br />Addressee <br />B. R ive yPnnte e) C. Date of Delivery <br />dffere tem 1? � Ye: <br />delivery a s w: ❑ No <br />Bud Benson APR 0 4 2016 <br />16201 E Yucca Ash Farm Rd <br />lervicType <br />Sonoita, AZ 85637-6702 certifi ail® ority ilExpress <br />❑ istered ❑ Retur eceipt for Merchandise <br />❑ Insu ❑ ect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />'2. Article Number 7014 2120 0001 7871 0229 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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