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2016-10-21_REVISION - C1996083
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2016-10-21_REVISION - C1996083
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Entry Properties
Last modified
11/1/2016 9:43:20 AM
Creation date
10/31/2016 10:33:25 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996083
IBM Index Class Name
Revision
Doc Date
10/21/2016
Doc Name
Certified Mail Receipt
From
Ivan Goodwin Revocable Trust
To
DRMS
Type & Sequence
SL2
Email Name
JDM
DIH
Media Type
D
Archive
No
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UNITED STATES POSTAL SERVICE 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 boxe <br />State of Colorado <br />Department of Natural Resources Z� <br />Division of Reclamation, Mining & Safety <br />1313 Sherman Street, Room 21r <br />Denver, CO 80203tv�N r~ <br />C-1996 <br />SL -2 <br />Inspection Notification <br />jdm/dih <br />■ Complete items 1, 2, and 3. Also complete A. Si datur �• <br />item 4 if Restricted Delivery is desired.0 Agent <br />X ■ Print your name and address on the reverse Addressee <br />so that we can return the Card to you. ec i d by (Pr' t d arae) C. Da of Delivery <br />■ Attach this card to the back of the mailpiece, VA) � d(Niv <br />or on the front if space permits. <br />D. Is delivery address different from item 1? ❑Yes <br />1. Article Addressed to: If YES, enter delivery address below: 0 No <br />Ivan W. Goodwin Revocable Trust ;:r <br />r.r •_ -- <br />P.O.Box 1418 <br />Running Springs, CA 92382-1418 c,Type - <br />;rtified Mail 0 Pric city�allEVOSs"'0 Registered 0 Retu .f rch dlse <br />0 Insured Ma0 CollectelWr <br />4. Restricted Delivery? (Extra Fee) Cl Yes <br />2, Article Number ?014 0150 0000 913 8 5044 <br />(Transfer from service label) _ <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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