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INSPEC04215
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INSPEC04215
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Entry Properties
Last modified
8/24/2016 8:58:58 PM
Creation date
11/18/2007 8:14:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977304
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
10/1/1997
Media Type
D
Archive
No
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m SENDER: <br /> <br />v <br />.Complete item. 1 anNor 2 for additional services. I also wish to receive the <br />h •Complete itemv 3, Ia, and 4D. }ollowing SBrvICBS (fdr en <br />~ •Pdm your name and edtlress on the reverse of this brm So Thal we can velum this 61dfa f6e <br />~ <br /> rartl to you. ei <br />j <br />' •Attach This form to the from of the mailpiece, or on the badr if space does not ~. ^ Addressee's Address <br />~ <br />o , pertnil. <br />aWdle'Rerum Receipt Requested'on the mailpiew below lha artide number. <br />Q. ^ RestdCted D¢liVery ~ . <br />N <br />t. •The RMUm Receipt will show to whom the artide was delivered and the dale <br />~ delivered. Consult postmaster for fee. a <br />O <br />v • 3. Article Addressetl to: <br />E b-~~ 0. <br />b'~ C,d11r1~ <br />0 <br />D <br />a' <br />x <br />5. Rece ed By: (Print am <br />~ -. (/ <br />,' 6. Signature ddress <br />o X <br />m <br />PS Form 3811, December <br /> Y <br /> <br />4 `~`~ <br />°~ef <br />351 <br />(D~b U <br /> . e <br /> 4b. Service Type <br />m <br />g~522 <br /> <br />~b ^ Registered <br /> <br />ress Mail <br />^ F~c '~ertified <br /> <br />^ Insured <br />rn <br />S <br /> p N <br /> ^ Retum Receipt for Merchandise ^ COD <br /> 7. Date of Delivery <br />L CJ ', 1''T <br />t~ f <br />c <br /> a. <br />A S. Addressee's Address (Only i/requested ~ <br /> and lee is paid) ~ i <br /> F <br />tssa <br />-,P_ ~~ 351 66~;' <br />0l1 i <br /> <br />~~. <br />\Q <br />0 <br />c <br />a <br />C <br />O. <br />i <br />ti <br />u <br />0 <br />u3~e~l se ce ~ <br />il <br />d M <br />tifi <br />C <br />a <br />er <br />e <br />cef or <br />~ <br />pro In a Coverage Providetl. , <br />' nal Mail See reverse ~' <br />~ not use for Into <br /> <br />1 <br />\ <br />p <br />s1~ <br />~~2 <br />a P <br />Y1 10 <br />l <br />Postage S <br />Certified Fes <br />SDedd Delnery Fee <br />Hestdged pefveq,Fee <br />Feeuan Fieeaipl Stgwnp lo. <br />Whom d Daro Defvemd -. ^ <br />ReNnFleap 9oshpmWMm, "'.~ ~ <br />Does. 8 AtleesueR Iddess ~ <br />TOTAL Postage 8 fees S <br />' Pmbnark orbate <br /> C <br /> <br /> n <br />i C <br /> G <br />t <br /> <br />
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