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2021-03-22_PERMIT FILE - P2021004 (2)
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2021-03-22_PERMIT FILE - P2021004 (2)
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Last modified
12/28/2024 7:53:31 AM
Creation date
3/23/2021 6:46:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2021004
IBM Index Class Name
PERMIT FILE
Doc Date
3/22/2021
Doc Name
Application
From
GRE, Inc.
To
DRMS
Email Name
SJM
THM
AWA
Media Type
D
Archive
No
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i <br /> COMPLETE •N COMPLETE THIS SECTIONON DELJWY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X ❑Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed Name) J�� <br /> e of Delivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> P,, `L-' Mor o.-h If YES,enter delivery address below: ❑No <br /> vs-Lc� <br /> Mom . �l�S Co <br /> III III III III I II II I I I III I I II I I I I III 3. Service Type ❑Priority Mail T s® <br /> ❑❑Adult Signature Registered MailajlM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> ❑Certified Mail® Delivery <br /> 9590 9402 4089 8092 0871 55 ❑Certified Maif Restricted Delivery ❑Return Receipt for <br /> ❑Collect on Delivery Merchandise <br /> 2. Article Number(Transfer from service.labeq ❑Collect on Delivery Restricted Delivery ❑Signature Confirmationrm <br /> ❑Signature Confirmation <br /> 7 018 0360 0000 2 512 1862 Restricted Delivery Restricted Delivery <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> MAIL"CERTIFIED RECEIPT <br /> fU ru Domestic Mail Only <br /> -- w <br /> E0 For delivery information,visit our website at www.uspsxome. <br /> �.�. ru ru <br /> r-R Certified Mail Fee <br /> ul � $ <br /> ru ru Extra Services&Fees(check box,add ree as appropriate) <br /> []Return Receipt(hardcopy) $ <br /> O O ❑-- Return Receipt(electronic) $ Postmark <br /> Q O <br /> El Certified Mail Restricted Delivery $ Here <br /> C3 1-3 <br /> o O ❑Adult Signature Required $ <br /> ❑Adult Signature Restricted Delivery$ <br /> O p Postage <br /> -0 —0 $ <br /> m m Total Postage and Fees <br /> C3 ED <br /> �.�.� ro ro nt To +� <br /> r-a r� �l. c ti�lc a a l t ear <br /> ------ ---- -- -- ---------------------------------------- <br /> t-n O treet and Apt.No.,or fi0 Box No. <br /> lti lti _ 1 <br /> Ciry,S te,ZIP+4a-t- ----- --------------------}- ------•---------------------•--•-- <br /> CC) <br /> PS Form 3800,April 2015 <br />
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