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_GENERAL DOCUMENTS - M1994092 (4)
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_GENERAL DOCUMENTS - M1994092 (4)
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Last modified
11/4/2020 5:16:06 AM
Creation date
12/24/2015 11:47:29 AM
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Template:
DRMS Permit Index
Permit No
M1994092
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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SENDER: COMPLETE THIS SECTION COMPLETE THIS DELIVERY <br /> ■ Complete Items 1,2,and 3.Also complete A. Signa re <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> X <br /> ■ Print your name and address on the reverse aCJ if ❑Addressee <br /> so that we can return the card to you. B. ReceNed by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, C, <br /> or on the front if space permits. L �� <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑No <br /> jhane Cooper dba Dirt Guys, LLC <br /> 9 Shannon Road <br /> Cotopaxi, CO 81223 <br /> 3. Service Type <br /> 91 Certified Mail® ❑Priority Mail Express- <br /> 0 Registered ❑Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 0150 0000 9138 1053 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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