2018-01-23_REPORT - M2008001

• Permit No: M2008001
• IBM Index Class Name: Report
• Doc Date: 1/23/2018
• Doc Name: Returned Annual Fee/Report
• From: USPS
• To: DRMS / EWSD 1, LLC
• Annual Report Year: 2017
• Email Name: ERR
• Media Type: D
• Archive: No

Agreement to Conduct Permitting by Electronic Mearns
Name of permittee representative desiring to
opt in to ePermit:
Title:
Name of permittee:
Signature:
ePermitting Administrator (if different from
representative signing agreement)
Email Address for ePermit Account:
Notarized Affidavit of Signature
STATE OF: )
COUNTY OF:
The foregoing instrument was acknowledged
before me this day of by
(date) (month) (year)
as
(Name ofpermittec representative) (title)
of
(permittee)
(seal)
My Commission expires:
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NOTARY PUBLIC