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2020-01-22_GENERAL DOCUMENTS - M1977376
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2020-01-22_GENERAL DOCUMENTS - M1977376
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Last modified
12/11/2024 6:17:51 AM
Creation date
1/22/2020 1:00:31 PM
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Template:
DRMS Permit Index
Permit No
M1977376
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
1/22/2020
Doc Name
Certified Mail Receipt
From
DRMS
To
Canon Dolomite Quarry, LLC
Media Type
D
Archive
No
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SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signatyre <br /> ■ Print your name and address orrthe reverse X I'll/ gent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. by(Print Name C. Date of Delivery <br /> or on the front if space permits. S$ c j /—� -2o <br /> Yes <br /> MR DANIEL TEZAK livery address below: SrNo <br /> CANON DOLOMITE QUARRY, LLC JAN c 2020 <br /> 205 TUNNEL DRIVE DIVIStONOFR C , <br /> CANON CITY, CO 81212 MINING&�LA ry <br /> AFETy <br /> III III I I I I I II I I I I I II I II I I I I I I 3. Service Type ❑Priority Mail Express® <br /> ❑Adult Signature ❑Registered MaiITM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> Certified Mail@ Delivery <br /> 9590 9402 2543 6306 1 149 24 ❑Certified Mail Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationT" <br /> nrttcla Number f7ransfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> $500ji1 Restricted Delivery Restricted Delivery <br /> 7 017 2400 0000 9205 6212 ver <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />
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