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INSPEC30798
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INSPEC30798
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Entry Properties
Last modified
8/24/2016 9:33:48 PM
Creation date
11/18/2007 10:28:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985212
IBM Index Class Name
Inspection
Doc Name
Certified Receipts
Inspection Date
1/8/2003
Media Type
D
Archive
No
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i <br />~r,~.~,s 9Q6 ~ <br />~>r1<,"h 5 ~~ <br />~ ~~S o2 f ~ <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name antl address on the reverse <br />so that we can return the card to you, <br />^ Attach this card to the back of the mailpiece, <br />or on the front it space permits. <br />1, Article Adtlressetl to: <br />ary'1 r. AvcL ~s SP v~a~,rc,z. <br />/~-relC i ~s I~Aae~. S~.- <br />~9 ~s ~1. C~ `"'`~`"t~. ~7 <br />S Tb~ e (!,ate-,V~r <br />Quar~~e5 9 <br />~s~~~ {~ ~-a8,a3 <br />A. Received by (Please Print Clearly) B. Date of Delive <br />1'~7' ~ <br />0. Sig fue, 1 <br />X I~ ^ Agent <br />~ / V ^ Addressee <br />D. As eliv rkess different m item 1? Yes <br />If YES, enter delivery adtlress below:f No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ G.O.D, <br />4. Restrictetl Delivery? (Extra Fee) ^ Yes <br />2. Artryicl^e N~um/ber (Copy from service labeQ / / ,~ / ~7 <br />PS Form 38~ 1, July 1999 Domestic Return Receipt - 102595-00-M-0952 <br />O <br />~ 8~a'1~13 SbEm18tt !@I I BFr-~-BS~~ <br />0 <br />s aostaae S s ,r'c~u ~~''?+t <br />s <br />a CeHified Fee ~~jj <br />y ~ ~ ~'y/y Fb5tmark <br /> <br />Y <br /> <br />~ Retum Receipt Fee <br />(Endorsement Required) / = ~~ <br />r <br /> <br />~• ~ Rera .. <br /> <br />J YI ' <br />V <br />T ~~ <br />~ Restricted Delivery Fee <br />(Endorsement Required) `% t <br />~ <br />p Tolal iostapo 8 Fees ,~~,r` <br />,$ '' 1' <br />A <br />t+] <br />ru Sent TO <br />A-(L)_t~ <br />SEP'd~f~E <br />A-/Z/C~N <br />SP~+ZK_-S`~- - <br /> <br />0 _ <br />- <br />-- - <br />StreegApt No.s,+/y ~T /~~ <br />orPoBOx NO_/ -/ (-.S--LY'..-- . _ <br />- <br />~ ~ n <br />-. ~'!zt~. ~°~`~.-a-7-.--.--__._ <br />p <br />~- City, State, ZIPiA ~ ~ - <br />~o (rQ e / <br />s"38' <br />~ .. <br />
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