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2019-09-18_REVISION - C1981010
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2019-09-18_REVISION - C1981010
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Entry Properties
Last modified
9/19/2019 7:40:30 AM
Creation date
9/19/2019 7:07:07 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
9/18/2019
Doc Name Note
For Notice of Inspection
Doc Name
Certified Mail Receipt
From
OSM
To
DRMS
Type & Sequence
SL20
Email Name
RAR
JDM
Media Type
D
Archive
No
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First-Class Mail <br /> Postage&Fees Paid <br /> USPS <br /> Permit No.G-10 <br /> S <br /> 9593 9402 2053 6132 7873 01 <br /> United States -Sender:Please print your name,address,and ZIP+4®in this box" <br /> Postal Service State of Colorado <br /> EDepartment of Natural Resources <br /> RECEIVE G VE® Division of Reclamation,Mining& Safety <br /> 1313 Sherman Street, Suite 215 <br /> SEP 1:8 2019 Denver,CO 80203 <br /> C1981-010 <br /> DIVMINNGA DIO,m OF CSAFETY N -- SL-20 <br /> �EQ 7 i j KEW 4.f.Inspection <br /> • I tit i iI!' <br /> RkSEP 1 a <br /> ►�Amo N t <br /> COMPLETE •N COMPLETE THIS SECTIONON DELIVERY <br /> ■ ' omplete items 1,2,and 3. A. Signature^ <br /> ■ Print your name and address on the reverse X �� ❑Ag, <br /> so that we can return the card to you. ❑Addresa.;e <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) C li <br /> D to7D)ivery <br /> or on the front if space permits. CcJj <br /> 1. Article Arfrfresearl t— D. Is delivery address different from item 14 ❑Yes <br /> If YES.enter delivery address below: ❑ No <br /> Howard Strand <br /> Office of Surface Mining <br /> Western Region „ <br /> 1999 Broadway,Suite 3320 <br /> Denver,CO 80202 <br /> II I III II III II IiI1Il1lI I III II I I <br /> 1111 <br /> I I I 3. Service Type C Mad Express® <br /> I ❑Adult Signature ❑Registered MaiIT"" <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 2053 6132 7873 63 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2 •• -• — ❑Collect on Delivery Restricted Delivery El Sign ature Confir ionTM <br /> 7 014 0150 0000 913 8 6195 0 Insured Mail ❑Signature Confi on <br /> ❑Insured Mail Restricted Delivery Restricted D <br /> -------- — over$500) <br /> PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic ReturnWFpW <br />
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