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2014-08-29_GENERAL DOCUMENTS - M1978078 (2)
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2014-08-29_GENERAL DOCUMENTS - M1978078 (2)
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Last modified
8/24/2016 5:47:11 PM
Creation date
9/4/2014 3:16:06 PM
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Template:
DRMS Permit Index
Permit No
M1978078
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
8/29/2014
Doc Name
Response to adequacy review
From
Lincoln County
To
DRMS
Email Name
AME
Media Type
D
Archive
No
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• 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 to: <br />I Z• <br />A. Signature <br />r <br />❑ Agent <br />B. Received by (Printed Name) C. Date of Delive <br />D. Is delivery address different from item 1? El Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />RfCertified Mail- ❑ Priority Mail Express" <br />/a Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />i <br />i <br />2. Article Number 7008 1140 0000 4865 7223 I <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <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 to: <br />A. Signature a I <br />X ❑ Agent <br />.-r Addressee <br />B. Received by (Printed Name) C. Date of Delivery I <br />D. Is delivery address different from item i? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />A Certified Mall' ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7008 1140 0000 4865 7216 <br />(Transfer from service IabeQ — __-.- ----- _- ,- -- ,------ __ ---- - . —__ -- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />Postal <br />m <br />CERTIFIED <br />RECEIPT <br />ru <br />ru <br />D. <br />. • Provided) <br />r- <br />For delivery information visit our <br />website at www.usps.com <br />Lrl <br />Postage <br />F <br />-0 <br />IS <br />CO <br />�3 <br />Postage <br />.� <br />CD <br />C3 <br />Certified Fee <br />e <br />Z y Postrq; <br />., <br />E3 <br />C3 <br />Return Receipt Fe <br />(Endorsement Required <br />Fee <br />(Endorsement Required) <br />r� <br />L <br />S <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />r <br />Total Postage 8 Fees <br />Lrz <br />CO <br />Total Postage & Fees <br />ent o <br />..J.!_..C.FI�%.`F•� <br />. �4.�ir.�Y/.l <br />5 <br />N <br />n vn u..,. w, 1,% i, *, r v <br />•--- • -_ - - -- <br />A <br />0 <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 to: <br />I Z• <br />A. Signature <br />r <br />❑ Agent <br />B. Received by (Printed Name) C. Date of Delive <br />D. Is delivery address different from item 1? El Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />RfCertified Mail- ❑ Priority Mail Express" <br />/a Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />i <br />i <br />2. Article Number 7008 1140 0000 4865 7223 I <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <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 to: <br />A. Signature a I <br />X ❑ Agent <br />.-r Addressee <br />B. Received by (Printed Name) C. Date of Delivery I <br />D. Is delivery address different from item i? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />A Certified Mall' ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7008 1140 0000 4865 7216 <br />(Transfer from service IabeQ — __-.- ----- _- ,- -- ,------ __ ---- - . —__ -- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />r-1 <br />ti <br />(Domestic Mail • <br />•. <br />No Insurance Coverage Provided) <br />r`- <br />F F <br />I C US <br />..D <br />Postage <br />$ <br />ED <br />Certified Fee <br />o <br />Return Receipt <br />e <br />Z y Postrq; <br />C3 <br />E3 <br />Fee <br />(Endorsement Required) <br />Hell+•` <br />C3 <br />Restricted Delivery Fee <br />(Endorsement Required) <br />r <br />Total Postage & Fees <br />s <br />7� U s <br />5 <br />c0 <br />Sent To <br />- S`fieef, Apt. ................. •• ...... <br />0 <br />o.; ) p B p <br />orPOBox No. 1_�l.(_¢_-•-.1. <br />�✓ p % c,� <br />/Z---`--_ /__-- <br />Gtlty slate, 11?+4 <br />.. ............... ......... <br />d �3 <br />3800. August 2006 <br />See Reverse for instructions, <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 to: <br />I Z• <br />A. Signature <br />r <br />❑ Agent <br />B. Received by (Printed Name) C. Date of Delive <br />D. Is delivery address different from item 1? El Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />RfCertified Mail- ❑ Priority Mail Express" <br />/a Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />i <br />i <br />2. Article Number 7008 1140 0000 4865 7223 I <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <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 to: <br />A. Signature a I <br />X ❑ Agent <br />.-r Addressee <br />B. Received by (Printed Name) C. Date of Delivery I <br />D. Is delivery address different from item i? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />A Certified Mall' ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />2. Article Number 7008 1140 0000 4865 7216 <br />(Transfer from service IabeQ — __-.- ----- _- ,- -- ,------ __ ---- - . —__ -- <br />PS Form 3811, July 2013 Domestic Return Receipt <br />
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