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INSPEC14264
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INSPEC14264
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Entry Properties
Last modified
8/24/2016 9:15:45 PM
Creation date
11/18/2007 9:04:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1982015
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
1/7/1997
Media Type
D
Archive
No
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d <br />D <br />0 <br />u <br />d <br />m <br />0 <br />Complete items 1 endor 2 for atlditiorW eervice9. I x150 Wleh CO reC01v0 the <br />•Complete items 3, 4a, and db. fOllOwing SBfVICBS (for 8n <br />• Print your name eM adtlrees on the reverse of sea Nrm so roar wa can return this Bxtra }BB): <br />nrd to you. o <br />•Mach this form to the from of the mailpiece, or on the bark it apace does not ~, ^ gtldressee's Address <br /> <br />~Wn e'Aetum Aecei t R uesred'on the mailpieoe below Ne adlcle number, <br />p e4 <br />2. ~ Restricted Delivery d <br />y <br />r-The Return Receipt will sbpw to wham the artitle was tlalivara0 entl me date <br /> <br />delivered. <br />COOSOIt pOatrna5ter tOr fBB. a <br /> <br />.v <br />~u,'~. 1, 1 , ^ ^ Registered <br />~-~^~•. ^ Express <br />9-9'~-1.~.a-J~ ~ ~ dZZ i _ ~ ReN <br />and <br />6. Signature: ~ ddres a or e <br />a°• ~( <br />w <br />PS Farm 3811, December 7994 <br />z 13^ ~~~oc'C l_~ <br />US Postal Service ~~@ # ~ <br />Receipt for Certified Mail ~ <br />No Insurance Coverage Pmvided. <br />Do not use for International Mail See reverse <br />to ..a <br />W <br />1 <br />Num erg y W <br />T ~ <br />e ale, 8 P Coded-y S <br />~j (D <br />Poslape ~ W <br />Certified Fee _ _ <br />.`'r, ~ <br />Sbecal Delivery Fqe C l i,r. 3 <br />Resbided Oetirory' Feb ~ ~ ",1 _ -~+ <br />n ~ <br />~ ReNm Receipt ShowinVy W(p 1nl <br />Whom 8 Date Dativeryd(q J I JJ ~ <br />~ D~8 <br />o ~~~~, ~ m <br />Q Date,E Addressee's <br />O _ __ ~ (~D <br />O TOTAL Postage d F~. , ~~ ~ <br />Posbnark or Dale ~ n <br />0 <br />ILL ti <br />u <br />v <br />c <br />~,[ v <br />pD Certified ~ <br />Insured 5 <br />^ COD <br />o` <br />0 <br />T <br />requested ~ <br />r <br />F <br />
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