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INSPEC31104
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INSPEC31104
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Entry Properties
Last modified
8/24/2016 9:34:03 PM
Creation date
11/18/2007 10:29:53 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1985184
IBM Index Class Name
Inspection
Doc Date
4/1/2003
Doc Name
Certified Receipts
From
DMG
To
Killion Supply
Inspection Date
3/13/2003
Media Type
D
Archive
No
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Ili <br />li, <br />1' i <br />- -~- - <br />;, <br />., <br />,, <br />a ~. <br />.. ... <br />rv <br />________~;i___ ~ -1313 Sherman;Rm.215,Denver,CU SD203 -- -- -- - <br />I, a <br />_ ^ ~ Postage $ a ^_ -- <br />~ CMifietl Fee + r ~~ <br />I ~ Postmark <br />N <br />_. --_ ~ Retum Receipt Fee Here . - ---- - - - <br />- I' ---- S (ErMOrsement Required) - ~ ~ ' <br />j O Restrictetl Delivery Fee ~ CiCi/~- <br />__~ O (Entlorsemen[Requiratl) ~Cj '~ti ,__ - _ <br />I ~. ' ~ Total Postage 8 Fees ,$ ~• ~/ \~ C~' <br />I <br />__-_-_~.t.~__ ~ .- C' .-- <br />~ Sen^t Txo.,, ,I^ - , j - <br />I <br />rLl ~Q.-'-- - -n--- i <br />Y~~N----------__ <br />_ Streeq APL No.( - ~ ----- --- - t ~_ ---- <br />,~ or PoBgx NO. } <br />' ~ Qty, State, ZIP+4 ., ---~ <br />- --- ---~--- ---- ~ ~- ~- ~ . s-~ a ~- t --- -- - <br />~ .,, „ <br />~ ~ ^ Complete items 1, 2, and 3. Also complete <br />---+++-~ item 4 if Restricted Delivery Is desired. <br />^ Print your name and address on the reverse <br />' so that we-can return the card to you. <br />--f?`-" ^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />_ u. Is delivery add Brent m item t? Ves <br />---*'~--~ 1. Article Addressed to: If YES, enter delivery atltlress below: ^ No <br />i.' fem. ' <br />~~ ~'^~~1- ~ 3. Service Type ' <br />-- -~+1-i ,yy.. ~~ ~ nn ` ~ (~„S ~` / ~ertified Mail ^ Express Mail <br />!-d'' B.C,jS.{,r.QJ 5 v Y/- i^ Registered ^ Return Receipt for Merohandise <br />__ ~( CGS ^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (EZMa Fee) , ^ yes <br />it <br />- _. _-b;t_ ~ 2. Article Number (Copy 6om service label) , <br />~(~or ~~G ~~~ ais~G .c~o~ <br />- _ _ -_ _ _-may-, PS Form .~~ i, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />I;~ <br />A. Receivetl by (Please,P,nnt Clearly) <br />I!',~i <br />G. SignaAi[e - / <br />^ Agent <br />/rr'~ 0 <br />
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