INSPEC13902

• Permit No: M1993027
• IBM Index Class Name: Inspection
• Doc Name: MINERALS PROGRAM INSPECTION REPORT
• Inspection Date: 9/17/1996
• Media Type: D
• Archive: No

SENDER:
a •C«rplae N•me 1 IrnN« 2 f« •tld'rtiorld wnic••. I BI50 wish to feCBIVe the
n . CompMe ilerq 3, /a, ew fib. following services (for en
o .Prim your name arM eddre•e on Ne reverse of thi• brm eo that w• qn ream Ihie 6xha fee):
>4 card to you. Y
i .Mach this Conn to the ham a the mallpieq, «on the badr a epeq does not 7, ~ AddreSSSe'S Address
m pertnil.
o • Wrtte'Retum Regipt Requested' on the mallpieq baow the erticN number. 2. ~ ReSldcted DBllVery
$ .The Raum Receipt vriN show to whom Ne article was tleFveratl entl the date
c delivered. Consult postmaster for fee.
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m 3. Article Addressed to: ~~' ZArti le Num r ~
E / 4b. Service Type °
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^ Retum Receipt for Merchandise ^ COD ~
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7. Date of Delivery SAP 3 ~ ~~ o
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5. Received By: (Print Name) 8. Addressee's Address (Only it requested ~
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6, Sigpalure: (Addy ee or AgenQ
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PS Form 3 camber fssa Domestic Return Receipt
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