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2014-06-25_REVISION - M1977522
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2014-06-25_REVISION - M1977522
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Entry Properties
Last modified
6/15/2021 3:13:14 PM
Creation date
6/26/2014 8:43:20 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977522
IBM Index Class Name
Revision
Doc Date
6/25/2014
Doc Name
Adequacy Response/Extension Request
From
Environment, Inc.
To
DRMS
Type & Sequence
AM2
Media Type
D
Archive
No
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i2. <br /> SENDER: • • •MPLETE THIS SECTION ON DELIVEPY _ <br /> v � � r <br /> ■ Complete iberrre 1.2.and 3.Also oomplette A 0 o m <br /> It - <br /> m 4 N Reshlcted y Is desired. Agent p 3 <br /> ■ Prfnt your name and address on the reverse X O Addressee o -n =1 m <br /> so that we can return the crud to by(Prfrrfe9 C.Date of DeUvery c 3 <br /> N ■ ■ ■ ■ Attach this card to the bads of mailplece. B. �/� 01 fA <br /> ° g ! or on the front ff space perm ts. /�� 7 r? 0 <br /> n� 3 D.lg delivery address different from seat 1 T ❑Yes < _ <br /> �w Z G� 7C a A 11. Article Adpreasad to: tf YES,erg deAvety address below. ❑No M W n <br /> �e ~ call I <br /> 07i <br /> I I Hamideh Abdolmohammadzadeh g <br /> v'O & Aziz Zandi <br /> o C m o F,R I 1645 N 35th Avenue Ct 3 Type <br /> 0 <br /> OD° D it. Greeley, Co 80631-9468 Cr edMaq Mao f <br /> rn G w p Q Registered Reoeipt for Meroirerrdbe <br /> ° g a Q insrued Meg ❑C.O.D. <br /> v alit 4. Restricted DeQveryT(Extra Feel Q Yes <br /> - Ems3 IRI <br /> 2 A[tide N m�$f <br /> mWWWfrom SWWW ism 7011 1570 0002 1521 026.9 <br /> : - PS Form 3811.February 2004 ;.Damesno Rehm Reoelpt 1 rr-lseo <br /> a ' <br /> o ' A Fa <br /> C3 13 p Iq 11 is rA • -: COMPLETE THIS SECTION • - • ON <br /> ti e <br /> ■ Conrplsts ftms 1.2,and 3.Also complete A. <br /> tram 4 U Pmddcted DeNvW b desired. a 6 13 Atli <br /> Ln g 3 a g ■ Print your name and address on the reverse X 13 Adze <br /> ru ' g so that we can roWm the card to you. by(Pf6rfed ) Delivery <br /> ■ Attach this card to the back of the mallpiece. R f <br /> o ' clan <br /> or on the front Ifspace permits. a L zhe <br /> �l • D.fs&*my ditfsrent tram Poem 1? ❑Yes <br /> ru 1. Article Addressed to <br /> En b • K YES,enter delivery address below: Q NO <br /> ru . ' b <br /> Mark D & Patricia L Becker <br /> Q 3 013 O E3 1639 N 35th Avenue Ct <br /> Greeley, Co 80631-9468 3• spvbe Tfim <br /> Mrmiad Mal! O Express mom <br /> ❑Pagletered ❑Rattan Receipt forMerdmfiss <br /> 13 mewled Mai ❑C.O.D. X <br /> 4. Restricted D~tEon Fee) 0 Yes rA <br /> 2-ArWef�, _ i( 7011 1570 0002 1521 0276 a <br /> (iis> srfrwrt servke fej' L� <br /> PS Form 3811.February 2004 Domestic Rattan Receipt 1 -µ.lsao <br />
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