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2016-05-04_REVISION - C1980007 (3)
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2016-05-04_REVISION - C1980007 (3)
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Entry Properties
Last modified
8/24/2016 6:21:44 PM
Creation date
5/9/2016 10:22:57 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
Revision
Doc Date
5/4/2016
Doc Name
Certified Return Receipt (Inspection Notification Letter)
From
USDA Forest Service
To
DRMS
Type & Sequence
SL9
Email Name
LDS
JRS
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE <br />First -Class Mail <br />Postage & Fees Paid <br />USPS <br />Permit No. G-10 <br />• Sender: Please print your name, address, and ZIP+4® in this box" <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 />USDA Forest Service <br />P.O. Box 1030 <br />Paonia, GO 81428 <br />2. Article Number <br />(Transfer from service labeo <br />State of Colorado I <br />Department of Natural Resources <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Suite 215 <br />Denver, CO 80203Let{e <br />C-19gp-Oon Notification <br />1nsPect <br />Idsla" I <br />A. Signature _ ` <br />x 1 1 � r • `❑ Ag� <br />B�A Receiv/e��d��by (Printed Name) �atte of Del e�r <br />D. Is delivery address different fr 1? ❑ <br />If YES, enter delivery address ❑ <br />3. Service Type <br />❑ Certified Mail® ❑ Priority Mail Express - <br />13 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 2120 0001 7871 0403 <br />PS Form 3811, July 2013 Domestic Return pi- ipt <br />r <br />
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