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INSPEC21013
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INSPEC21013
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Entry Properties
Last modified
8/24/2016 9:21:36 PM
Creation date
11/18/2007 9:37:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979097
IBM Index Class Name
Inspection
Doc Date
10/15/2002
Doc Name
Certified Receipts
From
DMG
To
Lafarge West Inc
Inspection Date
10/9/2002
Media Type
D
Archive
No
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~i <br />~. <br />-, <br />,. <br />~l, <br />,~ <br /> <br />' 215; D <br />er~v <br />t <br />` ~ ~ <br />-l`' <br />ey CA <br />I <br />. ~ , <br />im. <br />n , <br />, <br />h,~ <br />- <br /> <br />-- - - `-- ~-- - ---' -' <br />Posta9e r/y ~ <br />$ 3 I12 ~ ~, <br />~nT~ <br />4 -- <br />m ~ <br /> <br />~ <br />~~ <br />Certifletl Fee <br />~ ~ ~ ~ <br /> <br /> <br />' [. <br />/ ~ ~ ) <br /> <br />~~ Po m~ j <br />I~' <br />i Return Receipt Fee <br />uiretl) <br />(Entl <br />r <br />meM Re ~s <br />~Q. <br />~ ?'. ~/ <br />~ <br />~. <br />o q <br />o <br />sa ` <br />~ ? <br />gy „1S L ~ <br />--- - -~ ----'i-r- -~-- <br />' ~ <br />j Rastdcted Delivery Fea <br />(Endorsement Required) ~~ ~ `- <br />i p <br />,i <br />- -- - - - -- -alt- --- - - -- -- O <br /> <br />Total Posta9e & Feea <br />Y <br />$ 4 <br /> <br /> <br />--- <br />I <br />~, <br />~ Sent To ~ <br />~ <br />L~ <br />~ <br />T~~ <br />~ <br />c <br />P <br />- ~-. ru <br />---+rt- ~j'!' <br />~--- <br />- - ~/c- <br />~~ - <br />--- <br />~-- <br />~~ <br />- '- <br /> <br />'~ r9 Sheet, Apt. No.; 1I <br />or Po acx No. ~, j Q ~, a I v /~ <br />i Crt <br />ZIP <br />S <br />t+- _ _ _--.~ O <br />-- - - TQ ' <br />n <br />tate, <br />/l,~ c~,~ , / <br />Y -- <br /> I <br />- <br />r <br /> _--- <br /> <br />_- - ...~__-yy.t_ <br />;' ^ Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired A. Received by (P/ease Pnnt Cleary) B . Dat of D ive <br />~; <br />- _ <br />`---j±a--7 . <br />^ Print your name and address on the reverse -_-_, --_. . <br />O <br />' so that we can return the card to you. C. si net <br />- - --_ ~~ <br />I <br />~ ^ Attach this card to the back of the mailpiece, <br />or on the front if <br />i 1~~ <br />Q Agent <br />~ space perm <br />ts. Addressee <br /> <br />~ ~ <br />t. Article Addressed to: dpllv~lyrgdtlress diRerent from Rem 1 <br />D' r 7 ^ Vas _ <br />`-- -~-' If , en '~ery address below: ^ No <br /> <br /> ~ <br />o <br /> I,i-I~p,~-(PL~ , <br />~,~ a _ <br /> C <br />s <br />~ F <br />: ~2_"' <br />CU-e~ <br />I <br />ya ( <br />; <br />___ __ <br />- ~~ <br />~~j ~~ ~~ <br />[( <br />~ / <br />~ <br />P <br />~ ~ <br />' 3. <br />~Certifled Mail ^ Express Mail <br /> ~ <br />V/ cn <br />v(}- <br />,~ <br />~ <br />/ ^ Registered ^ Return Receipt for Merchantlise <br />I' ~ 1 ^ Insuretl Mail ^ C.O.D. <br />, I I 4. Restricted Delivery? (Fxha Fee) ~ Yes , <br /> 2. Article Number (Copy /rom service lab 1) <br /> <br />i <br />~ PS Form 3811, July 1999 Domestic Return Receipt <br />_ 102595-00-M-0952 ,- - <br />~ --- --- -_ <br />-_-___-. <br />_ -__ <br />I <br /> <br />
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