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2017-03-06_REVISION - M1999018
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2017-03-06_REVISION - M1999018
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Entry Properties
Last modified
6/15/2021 6:02:07 PM
Creation date
3/6/2017 4:51:46 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1999018
IBM Index Class Name
Revision
Doc Date
3/6/2017
Doc Name
Request for Conversion
From
Wagner Construction
To
DRMS
Type & Sequence
CN1
Email Name
ACY
GRM
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 />■ Athwh this card to the hack of the mailplece, <br />or ciff-the front If space permits. <br />1. Article Addressed to: <br />M19 <br />(. f C or1 <br />ICIIIICII IIII IIII{[ICI IIII I!I II IIII 11111111 III <br />9590 9402 2156 6193 1139 16 <br />7016 2070 0000 3435 9900 <br />P5 Form 3811, July 201 <br />• Complete items 1, 2, and S. <br />a 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 />d,rd b <br />coS401erze- 5`f. <br />G ram <br />co ,�62 <br />x 0 Agent <br />0 Addressee <br />B. Pacetved by {Printed Nxm) C. Date of Deliver) <br />6*4 f- � z/ <br />D. 4v dellvoy address dilfe o tram them 1? E 3 Yes <br />M Yes. eater delivery address below., 0 No <br />3.� <br />l3 Prlsity Meg Bwra9 <br />© Adult <br />© Registered Mall - <br />O Resttktad Daev <br />0 Re d Man Restrktad <br />c«tlnea <br />r <br />E3 Carrmed Man Aestrkbd DWLwy <br />13 = Recalptbr <br />E3 Collxton Ddmy Resttioted Delivery <br />Cl t oarn <br />�mred Mari <br />A <br />wed <br />Men Red We DeiJverY <br />Rem <br />Domestic Return Receipt <br />B. Recgived Name) <br />L fz` <br />C. Delivery <br />ee z3I 7 <br />D. Is delivery address dMtereni tram Mem 1? 0 Yes <br />K YES, enter delivery address bekyw. 0 No <br />bo-wr� <br />°�tyMd EpwaS <br />lilllllll[IIIIIIIII[I[IIII <br />INlllllllllll <br />13Adult 84zftn <br />Adult Reealcted nesverr <br />n Md Restricted <br />9590 9402 2156 6193 1139 23 <br />CwUftd <br />dGaZed Moll MBNRastrlcted Denvery <br />=od <br />0 Rshan Reeelpt ter <br />O CoEwton Depvery <br />hrte<dmrrdlaa <br />Q- ArHdANirmberMWjkft=swyfba1AhPn <br />13 CoW ca Ddmy Resleicted Detmy Q Ccalhrnafi-Tm <br />7016 2070 0000 3435 9894 <br />uied.MaB <br />PA i DSWY <br />0SWotursC-FWn ton <br />RedkiedDdwy <br />PS Form 3811, July 2015 PSN 7530-02-000-9053 <br />Domestic Return Reeelpt } <br />
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