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_GENERAL DOCUMENTS - M2013070 (2)
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_GENERAL DOCUMENTS - M2013070 (2)
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Last modified
11/4/2020 1:30:02 PM
Creation date
12/29/2015 11:31:08 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2013070
IBM Index Class Name
GENERAL DOCUMENTS
Doc Name
Certified Mail Receipt
Media Type
D
Archive
No
Tags
DRMS Re-OCR
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Signifies Re-OCR Process Performed
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M 20 X 70 <br /> SENDER: COMPLETE THIS SECTION i� COMPLETE THIS DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. J ,��:)C; ❑Agent <br /> ■ Print your name and address on the reverse ❑Addressee <br /> so that we can return the card to you. B/�Rece_ived by(Printed N e) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, l� `nC nrc._ �� ,7� �S <br /> or on the front if space permits. J` <br /> D. Is delivery address different from item 1? El Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Mr. Michael Shumway <br /> Liberty Mining, LLC <br /> 1300 South Highway 191 3. Service Type <br /> P.O. Box 1032 ®Certified Mail® ❑Priority Mail Express- <br /> Moab, UT 84532 ❑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 labeq 7 014 0150 0000 9138 1251 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />
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