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2016-01-05_PERMIT FILE - M2014017
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2016-01-05_PERMIT FILE - M2014017
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Entry Properties
Last modified
8/24/2016 6:14:07 PM
Creation date
1/7/2016 7:45:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2014017
IBM Index Class Name
PERMIT FILE
Doc Date
1/5/2016
Doc Name
Request for extension
From
Mark Krivanek
To
DRMS
Email Name
MAC
Media Type
D
Archive
No
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' iosrni cola 111111111111111111 T 1 V.V V , <br /> KESS FIRMLY TO SEAL PRESS FIRMLY TO SEAL <br /> 80203 :o4E <br /> 106128 11 to <br /> d <br /> in <br /> a <br /> v. <br /> - ---- -- — - ca <br /> 0t2 <br /> HIORITY - <br /> MAIL 11 1 111 jI <br /> illi I I II I <br /> 7-- <br /> CUSTOMER USE ONLY <br /> EL2U8432373US �� <br /> PRESSTM FROM:,rLEneE PRx+n <br /> PHONE( <br /> a <br /> STEST SERVICE IN THE U.S. �TIONAL USE ` <br /> . 554 <br /> , <br /> a)Tt <br /> c <br /> UNITED STATES PRIORITY „oi <br /> ? <br /> * MAIL * = <br /> PAYMENT BY ACCOUNT(If applicable) �POSTLI L SERVICE E X P R ESSTr, <br /> >+u <br /> dM <br /> oa <br /> lrlu <br /> DELIVERY OPTIONS(Customer Use Only) ORIGIN(POSTAL SERVICE USE ONLY) ami , <br /> 0 SIGNATURE REQUIRED Nato:The ma:ler most check the'Signature Required'box 4 the mater.1) 1-Day 0 2-D4 0 M:4te., 0 DPO ! a 4 <br /> Requires the adGressee's smature;CR 2)Purchases addt:onal Insurance:OR 3)Purchases COD service;OR 4) PO'IP Cody Scheduled DoSvt.ry Date Post. j > 4 <br /> Purchases Return Receptscrv,ce.If the box is not checked,the Postal Service wi:l leave the item In the addressees SchduledDi - ' <br /> mal receptacle Cr other securn'coln w tout atterrptn5 to at .n the addressee's sonaure en ceteery. 1 a 1 _ . a a <br /> Delivery Options �:✓ � <br /> o No Saturday Delivery(de.vered next business day) dr ✓s` l (' it Cid' i i'''' $ 1 .-.. • 2 C <br /> ❑Sunday/Hoi day Delivery Required(additional lee,where available) (0 q <br /> Date Aceccted(f,'.".!'OD,NV) SchedScheduledDi:vrryT mo insurance Pao COD Fee <br /> ❑10:30 AM Delivery Required(additional fee,Where available') - - el 0 <br /> 1❑10;30 AM 0 3:00 PM c <br /> 'Refer to USPS.com,or!coal Post Office'-for ava!!af:iry. i i,y, $ $ a1 tJ� <br /> PNMT <br /> - TO:(PLEASE ) -'L:7 �2 NOONR <br /> PHONE) ) Time Accepted 10:30 AM De:aory Fee . Return Accept Fee Live Anfmal I N <br /> r • <br /> r' J A,.1 , . Transportation Pee t� R <br /> ;ED INTERNATIONALLY, 'Weight 'v�Dt'M $ �� $ �$ '^ `-' <br /> TOMS DECLARATION Weight „a yFlat Rata Sand -14diktaY PlenWetTce Total Postage 8,Fees a N <br /> MAY BE REQUIRED. `$' `r" tri 3 <br /> t Acceptancg.Empveotjeia's I S �.1 f j '"`' r, <br /> 'b:,. azar •s'a ,4 -/ $ ! .-''"� 2 <br /> 0.1.M..........! ZIPADDRESSES ONLY:Z!P-+ (U.S. DELIVERY:(POSTAL SERVICE USE GNU) p Z <br /> M <br /> De1•.rry Atttempt(MASDDJYY)Time - Employee Signature �.+wd; <br /> • ❑AM N C <br /> L — <br /> DPM O C <br /> II For pickup or USPSTracking'",visit USPS.com or call 800-222-1811. !10r1'ivory At:empt(:'S:001'V)Time Employee Signaler,. a <br /> e $100.00 insurance Included. . DAM 0 <br /> 1 ❑PMM <br /> y 2013 OD:12I.5 Ix 9.5 LABEL 11-B,SEPTEMBER 2015 PSN 7690-02-000-9996 3-ADDRESSEE COPY 2.2 <br /> al <br /> r0 <br /> ti Y <br /> U <br /> AI <br /> a <br /> v) <br /> 'glum <br /> goo 1 00000b VISIT US AT USPS.COM°Iiii <br /> _ UIVITEDST/iTES <br /> ORDER FREE SUPPLIES ONLINE * == �POST/.ILSERVICE® <br /> ****,ice <br />
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