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INSPEC31752
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INSPEC31752
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Entry Properties
Last modified
8/24/2016 9:34:31 PM
Creation date
11/18/2007 10:33:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994117
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
7/22/1997
Media Type
D
Archive
No
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"' SENDER: <br />o .Complete itemsl anNOr2lor atlditionel services. <br />n .Complete items 3, da, antl 4b, <br />~ . PnN'lour name and address on dte reverse of this form so Ihat we urn return this <br />cartl to you. <br />> •Mecll Ines form to the hoN of the mailpiece. or an the bark it space does not <br />~ permit. <br />y • Wnte'Retum Receipt Requested'on the mailpiece below the anicle number, <br />.t. .The Flefum Receipt wid show to whom the eniae was tleliveretl and the tlate <br />~ tlelivered. <br />0 <br />v 33'.(A~rt~cle Addressed fo:/'~ rt <br />~. 4b. Service <br />0 <br />I also wish to receive fir G'~ 4 3 0 <br />following services (forap~,-_ - <br />extra fee): DD e <br />1. ^ Addressee's Ac 1~~ t for Cert <br />f ~ No Insurance COt,prag~k <br />2. ^ Restricted Delis Duo not use ter Inl-amaH-on <br />Consult postmaster for ~ e -yes t y~,~ _ _ <br />u ~~( '1 '-'I ~Q~~ n ~.. ^ Registered <br />I tl l ^ Express Mail <br />¢ ~(~l1 d~ln C~ ~~ O ~ ~~ m Recei t <br />~c• \ X10 y eve <br />a ~, <br />5. Received By: (Pont Name~~ u ~ r 's P <br />¢ ~/ v' _ '~ d^J 'i pail <br />773 <br />Mail <br />c <br />c <br />L <br />'. <br />G: <br />~,E~ ~(-( N~a 3 <br />.jlJ l ! a~ 1 ~ ~1 AY per, <br />rbhy Olli(x.YSlete, 8 yp Cotle r+a :.. <br />v / C ~.l ~ <br />(~^ 1r Postage <br />itandfse ^ C Carolled Fee - ~~ <br />___ Vt <br />~J Spedel Delirery Fee ~ ` <br />( ly r/ raga Restrfcled DeNFery Fee .A=D7 <br />n <br />m Rehm Recent Stmwinn to [~h <br />u SEI'IDER: <br />y •Canplele items 1 ardor 2 for atltliganal 9ervic09. <br />dh I also wish to receive' <br /> <br />}OIIOWIng eervioes (fOf <br />M <br />w . <br />•Co,nplele items 3, 4a, one <br />•PdiH your name and address on the reverse of this farm so that we can return this extra fee): <br /> <br />> c6rd to you. <br />• Att.tch This tans to the hoot of the mailpiets, or on the hack it space tloea not <br />1. ^ Addressee's . <br />d <br />e permit. <br />• Wrle'Retum Receipt RequesYed'on the mailpece below the edicle number. <br />2, ^ ReStneted DE <br /> •Th~l Relum Receipt will show to whom Ne aniUe was tlellverae antl the tlale <br />Consult postrnaster h <br />~ eeliveree. <br />0 <br />v 3. FrrHCle rAddressed to: (~ ~ 11 <br />a M1 C IIJ/, \.~ C 110.2C,T <br />°~~Q ~4C~-l~Q~l. fir' Sv''~St`'o~ <br />¢ `'~~, v~co~ <br />0 <br />0 <br />z <br />~ ~ 5. •aeceived By: (Print Naml <br />¢ - ~'~- <br />'N~ ~bb~ <br />i TOTAL Postage 8 Fees i s i <br />y <br />a <br />4a. roc e m er <br />l <br />~' ~C~ ~ <br />~~2 <br />o~~ <br />4b. Service Type <br />~~~/// <br />m <br />^ Registered L~certified ~ <br />^ Express Mail ~ Insured c <br />^ Return Receipt for Merchandise ^ COD ~ <br />7. Dale of Delive>_y <br />3 fl •`- <br />(i. <br />•.L it <br />and !ee is paid) <br /> <br />~„ SENDER: <br />L .Complete items 1 ardor 2 for edtlitional services. <br />e •Compi ale items 3, 4a, end db. <br />.P 18150 WISh t0 receive <br />IOIIOWIOg SEIrviCfIS (for <br />rint your name one seeress on the reverse of this Corm so That w <br />m <br />care n, you. a can return This <br />extra fee): <br />~ .Mach this form to the hoM of the mailpiece, or on tfg back it space does not <br />~ permit. <br />1. ^ AddreSSee'S <br />w •Wnre'Retum Rewip(Requesred'on the mailpiece below Me anicle pumper. <br />$ .The Return Receipt will show to whom the article was tlelivera0 antl the date p, ^ Restdded De <br />ii tlagvered. Consult posmaster fc <br />~ 3. ArHr•le Adtlressed to: <br />-S~ <br />a <br />~h-n i~;v~ cle Number <br />~6 g <br /> <br />_ <br />F <br />, <br />u 1 ~~~~~ ~ 1 ~}L, ~~ 4b. Service Type <br />~y /~ <br />¢ 1\ 1 1 ~ n w n 1 '/Q Q oQ 1 1 <br />' ` <br />t ^ Registered <br />^ Express Mail ^ <br />l, <br />. <br />U l l <br />~ ^ Return Receipt for Merchandise ^ <br /> <br />' 7. Date of Deliv <br />z ~~ ~~ m <br />~ 5. Received B Pnnt Name <br />Y~ ( ) <br />R. Addressee's Address (Only i/req <br />m and lee is pa/d) ~ <br />u r ,Signs dr ee or <br />t) G <br />~ <br />T X //I ~ <br /> <br />PS Fdm 3811, December 1994 Domestic Return E <br /> o <br />LL <br /> _ ,,,, <br />, <br />N <br />a <br />Spec. -~~~ <br />--- P 3~r 7 8 0 ~ii~ ~8~ <br />Receipt for <br />Certified Maii p <br />~~ No Insurance Coverage Provided <br />,g~u:«.; Do not use for International Mail <br />(See Reversal , <br /> <br />i \~ <br />'~~5`~'1 E ~ 8~` <br /> v c <br />O . flare ?IP o e I <br /> I <br /> <br />Posta <br />e E <br />g <br />Cend~etl Fee <br />$peaal Delrverv Fee <br />Resmcletl Delwery Fee <br />Return geceipl $M1Owing <br />ip Wnom & Daia Delne~en <br />Relwn Receipt Snowing to Wnom, <br />Dare, antl AOtlressee's AtlO~ess <br />i DTAL Postage <br />Fees <br /> <br />POSlmdrk Or Ddla n <br />W <br />W <br /> <br />n <br />C4.i <br />
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