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2017-04-20_REVISION - C1981041 (2)
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2017-04-20_REVISION - C1981041 (2)
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Entry Properties
Last modified
4/25/2017 10:31:27 AM
Creation date
4/25/2017 7:17:33 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981041
IBM Index Class Name
Revision
Doc Date
4/20/2017
Doc Name Note
(Inspection Notification)
Doc Name
Certified Mail Receipt
From
OSM
To
DRMS
Type & Sequence
SL10
Email Name
JHB
JRS
Media Type
D
Archive
No
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UNITED STATES 1°' S /iLE17VICE 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 /> RECEIVE® <br /> State of Colorado <br /> Department of Natural Resources APR 2o 2017 <br /> Division of Reclamation,Mining&Safety <br /> 1313 Sherman Street, Suite 215 pion of Rede matoft' <br /> Denver, CO 80203 SL-10Mirnn9&Suety <br /> C-1981-0.11 <br /> Inspection <br /> Iy— Notification <br /> 1 <br /> 11101-ii il fillllild, <br /> COMPLETE • ON <br /> ■ Complete items 1,2,and 3.Also complete A. Signat <br /> item 4 if Restricted Delivery is desired. X — ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> 1. Article Addressed to: <br /> D. Is delivery address different from item 1? ❑Yes <br /> If YES,enter delivery address below: ❑ No <br /> Howard Strand <br /> Office of Surface Mining <br /> Western Region Suite 3320 3. Service Type <br /> Denver,CO 80202 Broadway, El Certified Mail® 13 Priority Mail Express'" <br /> Den ❑Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number a 14 <br /> (Transfer from service/abed 015 O 0000 9138 5266 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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