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2017-08-18_REVISION - C1981008 (2)
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2017-08-18_REVISION - C1981008 (2)
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Entry Properties
Last modified
8/22/2017 9:01:41 AM
Creation date
8/21/2017 11:13:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
Revision
Doc Date
8/18/2017
Doc Name Note
(Inspection Notification)
Doc Name
Certified Mail Receipt
From
OSM
To
DRMS
Type & Sequence
SL20
Email Name
BFB
DIH
Media Type
D
Archive
No
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uses well # <br /> ;t ' `* First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> tY ' rr <br /> 9590 9402 2543 6306 1357 14 <br /> United States •Sender:Please print your name,address,and ZIP+4®in this box• <br /> Postal Service Mate or LOloraao <br /> Department of Natural Resources <br /> Division of Reclamation, Mining&Safety AUG 18 ?017 <br /> 1313 Sherman Street, Suite 215 <br /> — - � rvlsion Qf ation, <br /> Denver, CO 80203 C-1981-WW& y <br /> SL-20 <br /> Inspection Notif <br /> ahh/bfb i <br /> 2Z;43 G S fill III t1:lrrii11t1t1,1r,11rr111ii11r111111111'1Ili l A <br /> COMPLETE <br /> ■ Complete items 1,2,and 3. A Srgnatu <br /> ■ Print your name and address on the reverse XAgent <br /> so that we can return the card to you. ` ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. D to of Qel.ivey <br /> or on the front if space permits. /f l CJI <br /> 1. Article Addressed to: D. Is delivery address different from item 1? es <br /> Howard Strand If YES,enter delivery address below: No <br /> Office of Surface Mining <br /> Western Region <br /> 1999 Broadway, Suite 3320 <br /> Denver, CO 80202 11 <br /> 3. Service Type 0 Priority Mail Express® <br /> i+I'll III Illi lIl I II II II II I I I I I I II III I I I II I I III °Adult Signature °Registered Mail <br /> ❑ R <br /> ❑Adult Signature Restricted Delivery Registered Mail Restricted <br /> °Certified Mail® I Delivery <br /> 9590 9402 2543 6306 1357 14 °Certified Mail Restricted Delivery ❑Return Receipt for <br /> °Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery °Signature Confirmation- <br /> 7 014 0150 0000 913 8 5 914 Rall Restricted Delivery °Signature <br /> stricted Delivery tion <br /> 10) <br /> PSForm 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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