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2017-02-07_REVISION - M1977094
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2017-02-07_REVISION - M1977094
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Last modified
6/15/2021 2:33:27 PM
Creation date
2/8/2017 8:04:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977094
IBM Index Class Name
Revision
Doc Date
2/7/2017
Doc Name
Proof of Mailing Wildlife Statement to CPW
From
Bruce Humphries
To
DRMS
Type & Sequence
AM1
Email Name
JLE
Media Type
D
Archive
No
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■ Complete items 1, 2, and 3. <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 />�► v e f C U . . <br />A. Signatu <br />X Agent <br />© Addressee <br />B. Ve ived y (Pr Name ,, C. Date of Delivery <br />Is c7elivefy addrdss differen4 from em 1? ❑ Yes <br />If YES, enter delivery address elow: ❑ No <br />r� IIII 1{� If �� I��� 3. Service Type ❑ Priority Mail Express® <br />Ij Ir I I I 1 I3 jI ❑ Adult Signature C7 Registered MaiIT^' <br />❑� �A[�y1t Signature Restricted Delivery ❑ Registered Mail Restricted <br />9590 9403 0570 5183 3578 3$ 0 Cerrtiried Mail® Delivery <br />Q Certified Maii Restricted Deiive d Return ReceiR t for <br />e Number (Transfer from service label) <br />701x5 0640 0002 3606 <br />17 Collect on Delivery rY Merchandisep <br />❑ Collect on Delivery Restricted Delivery 13-Wnature ConfrmationTM <br />171 Insured Mail Q Signature Confin-nation <br />7887 <br />))il Restricted Delivery Restricted Delivery <br />PS Form 3811, April 2015 PSN 7530-02-000-9053 <br />Domestic Return Receipt <br />
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