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2007-07-23_REVISION - M2004043 (2)
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2007-07-23_REVISION - M2004043 (2)
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Entry Properties
Last modified
6/16/2021 2:15:53 PM
Creation date
11/21/2007 4:40:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004043
IBM Index Class Name
Revision
Doc Date
7/23/2007
Doc Name
Cert. return receipt
From
DRMS
To
Venables Welding & Roustabout, Inc.
Type & Sequence
SO1
Media Type
D
Archive
No
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~~~ <br />UNITED STATES POST I E <br />~Es _7ilL- 2Y1Gl;t' . . J. i <br />• Sender: Please print your name, address, and <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMAT70N, MINING AND SAFETY <br />1313 SHERMAN STREET, SUITE 215 <br />DENVER,COLORADO 80203 <br />box <br />3x1300000 <br />~+BC' -3G:~,~---, <br />-ale ~ .1~~~3 <br />1I,.Iril,r,rrlrlilrrrrrll,..I,Ir.lrlrlrrirrlirrllrrririrririrt <br />1~1- wady - p`~3 <br />~j- O\ <br />pr1-~.3-~ ~~Q~ <br />~T~ <br />Cert. ~- ~~~~~~`. <br />~~' ~eo-o-b\~ ka~yts 1 <br />~ sous <br />F~ ~ ~¢~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed la: <br />Mr Scott Venable <br />Venable's Welding Roustabout Inc <br />1041 N Dumas Ave <br />Dumas TX 79029 <br />^ Agent <br />e. IfBEceived Dy (Pooled Name) C`.-~Date of Delivyery <br />D Is delivery atldress diffe from kem 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />^ Certifietl Mall ^ Express Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Rastdctetl Delivery? (FxVa Fee) ^ Yes <br />z. Article Number 7003 1680 0000 6427 8752 <br />(rianster hum servlca IabeQ <br />PS Form 3811, February 2004 Domestic Retum Receipt tozsss-0z-m-t sao ; <br />
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