INSPEC29193

• Permit No: M1994117
• IBM Index Class Name: Inspection
• Doc Name: MINERALS PROGRAM AND INSPECTION REPORT
• Inspection Date: 9/5/1997
• Media Type: D
• Archive: No

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•COmpine items 1 anNor 2 for addi[iartal services. IDIIOWInQ SB
•Completa items 3, 4a, and 4b.
•Pdnt your name and address on me ravens of this bnn w 1ha1 we can velum this extra fes):
cartl ID you. or on the Dark ifs ace does not
•Attach this form to the from of Iha mailpiace. P 1. ^ Add
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v •Completa items 1 endor 2 for additional services.
n •CCmplete items 3, 4a, and bb.
m •Pnm your name one adtlress on the nwne of Ibis loan so that we can return this
card to you.
~ •At ach this torte to the from of the mailpiace, or on the baq it apace tloas not
~ permit.
e • Wrtte'ReNm AaceiAr Aequesred' on the mailpiace below me aniUe number.
M •TTn Return Receipt will snow to whom Iha snide was delivered and me tlale
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•Conpleta items 3, da, and 4D. following serviC~)

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m • Pmn ygnr name 8rld Bddree9 OII the reven0 et Ihn loan 60 thal W0 Can rmUm Ihle ext2 fee): (~
~ card to you.
.Attach this form to the kont of the mailpiace, ar on the Dock it space goes nol
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• W iite'Retum Receipt Requested' on the mailpiace below Iha adide number.
2. ^ Restdct
N .The Return Receipt w+ll snow to whom the adide was delivered and the tlare
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~ 5. Received By: (Print Name) B. Addressee's Atltlress (Onl
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P-> Form 811, December 1994 Domestic R~
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P 213 351 561
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,_rL~eq^t for Certif~i ed~Mait
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^ Express Mad
^ Return Receipt for Marcher
7. Date of Delivery
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9. Addressee's Address (O
and !ee is paid)
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ReDtrn Receipt Showing ~
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Date, 6ld8aseeY Adders
TOTAL Postage 8 Feas ~ S
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