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2011-06-24_REVISION - C1994082 (3)
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2011-06-24_REVISION - C1994082 (3)
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Entry Properties
Last modified
8/24/2016 4:34:52 PM
Creation date
6/27/2011 1:20:59 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
REVISION
Doc Date
6/24/2011
Doc Name
Certified Return Receipt (Inspection Notification)
From
Board of Land Commissioners
To
DRMS
Type & Sequence
SL3
Email Name
SLB
SB1
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION <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 />1127 Sherman Street Ste 300 <br />Dyer Co 80203 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Retum Receipt <br />C---ictqL-1-0ez <br />sLt s <br />ri.aRea.an <br />n- Q-ueybdtun <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Sign ture eit <br />A nted ame <br />❑ Agent <br />❑ Addressee <br />eceived <br />by ) C Date Qf q�liyry • <br />ir — ( t� " O <br />1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes <br />If YES- enter delivery address below: ❑ No <br />State of Colorado /Board of Land Commissioners tki / 2 4 <br />41 <br />3. Service Type <br />❑ Certified Mail ❑ Express Mail <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />7007 3020 0001 6340 0119 <br />102595-02 -M -1540 <br />
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