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INSPEC22678
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INSPEC22678
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Entry Properties
Last modified
8/24/2016 9:22:46 PM
Creation date
11/18/2007 9:45:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1988112
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
5/8/1996
Media Type
D
Archive
No
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~ c'~- <br />-ti - ~9 ~ ~sPr <br />h <br />O <br />v <br />n <br />e <br />e <br />e <br />C <br />0 <br />Y <br />• Complete items 1 andlor 2 for Frdtliliond services. <br />•Completa items 3, da, entl 4b. <br />•Pdn1 your name and address on the nvane of this form eo Net we can return this <br />•iltlach Nis icrm to the honl of the rruilpiace, or on the beck d space does not <br />pemtit. <br />• Wdte'Aetum Receipt Requested' on the meilpiece babes Ns edicb number. <br />•Ttw Return Receipt wiN chow to whom Ne snide was tleiivere0 entl the date <br />Odiveretl. <br />dam-" <br />u <br />Date a Delive ~ ` ~ ~ <br />/! ~ <br />a°. <br />Addressee A dress( myi/requested ~ <br />end tee is paid) <br />I aISO Wlsh 10 fBCBIVB thB <br />fdrowing seMCes (ror en <br />e7(tra roBJ: <br />' <br />1. ^ Addressee <br />s Address T <br />2. ^ Rastdded Delivery y <br />Consult posbnaster for fey. <br />- <br />mbar <br />o rya ~~a <br />~ <br />rpe o <br />^ Registered ~CeRlfied o <br />^ F~cpress Mail ^ Insured ~ ~ <br />^ ReNm Receipt for Merchandise ^ COD <br />6. Signatu ~ ~Iddressee or <br />r ) <br />n <br />PS Fonn 3811. <br />1994 <br />r <br />m <br />m <br />L <br />M <br />E <br />IL <br /> <br />-Z 4J,r= 942 ~a~~ <br />l~ppec. <br />Receipt for „ ,.~, _ / / y ~ <br />CertifiilA X111 -~ <br />~ No Insurance Coverage Provided <br />Do not use for International Mail <br />1 R ens <br />5 l to <br />ie ; <br />P Si a sea ZI C tle ~~ ~~ ' <br />U <br />Prvage ~ <br />Ceml~e0 Fee ~ \ <br />Soeoa. De.rver~ Fee ~ , <br />Re5lncletl Delrveq Fee ~~ ~ <br />Re4 m fle<e~pl Snowing <br />to WFam B Dal¢ De~~•e~ell ~ ' <br />Return Pece~pr Snow~nq io Vvnom. <br />Dale, and Atltl~essee's Atltl~ess ~• ~ ' ' <br />iOiAL Postage <br />8 Fees F <br />9 <br />Postmark or Date <br /> <br />W <br />:/) <br />J <br />~l. <br />.J <br />~~ <br />N <br />ill <br />0 <br />L)7 <br />G <br />1^ <br />l <br />0 <br />O <br />N <br />O <br />W <br />
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