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_GENERAL DOCUMENTS - M1997087
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_GENERAL DOCUMENTS - M1997087
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Last modified
11/4/2020 6:22:09 AM
Creation date
12/23/2015 9:17:46 AM
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DRMS Permit Index
Permit No
M1997087
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Certified Mail Receipt
Media Type
D
Archive
No
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DRMS Re-OCR
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Signifies Re-OCR Process Performed
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COMPLETE •N COMPLETE,-HIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. t Zcev y(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Anthony "Marshall" Miller <br /> Lafarge West, Inc. c/o Lafarge North America Inc. <br /> 8700 W. Bryn Mawr Ave., Ste. 300 <br /> Chicago, IL 60631 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) ❑Yes <br /> 2. Article Number 7012 3460 0000 6384 5276 <br /> (transfer from service label) <br /> PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br />
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