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INSPEC36861
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INSPEC36861
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Entry Properties
Last modified
8/24/2016 9:42:41 PM
Creation date
11/18/2007 10:58:19 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977347
IBM Index Class Name
Inspection
Doc Date
1/22/2003
Doc Name
Certified Receipts
Inspection Date
1/7/2003
Media Type
D
Archive
No
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0 <br />o ~rrt <br />3 S <br />3 <br /> l <br />1 <br />~~) <br />0 <br />~,. Poetaga $ <br />ra CedHietl Fea <br />S <br />Return Recelpl Fee <br />s (EMOrsemeat Requvetll <br />~ Restricted Delivery Fae <br />~ (Entloraement Required) <br />O <br />~ __._, e_.._... a Does <br />a <br />to <br />fll <br />,a <br />O <br />O <br />It <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 />^ Aitach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addresse"tl~,to: <br />~' CYC~DtJ V tti1ZZ`(1.~ <br />~113rrn~ ~~ , <br />Jr?o. ~S~ Is~~' <br />2. Article Number (Copy rrom service IabelJ <br />.rrf ~1 <br />~ / P~tmerk <br />_~ , -,!Here <br />4 <br />A. ived by (Please Prin~f,~~eanyJ B. Date of Delivery <br />~~.C .C Pi r~i 07~ %-21-~.3 <br />C. Si/gn~/jat/u~re// ~~ jJ// ~'Ly ?~~/ <br />X Vr _ ~ " ' G L7 Addressee <br />D. Is d livery adtlress dittere ~ om item t? ^ Ves ' <br />If YES, enter delivery atltlress below: IY7~"r,l"~„ <br />3. Service Type <br />Certified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />d. Restdcted Delivery? (Extra Feel ^ Yes <br />PS Form 3811, July 1999 Domestic Return Receipt <br />>J. _. <br />~a <br />102595-gg-M-0952 <br />Pernit NUmbe M"~`1~-~-'3~~ ~u~J l"(~ ViIX~Y't ~V111C Y~ <br />Class: OPermit <br />Section/Exhibit: ,_._.-._._._._._._._.-._._._._._._._._._._._._._._ <br />Class: ~ Revision li <br />Class: O Report O Hydro OGeneml <br />Doc Type: _.___________ __ <br />DAppllca[ion (Coal only) ^ Bond ^ Enforcement Inspection <br />1-~-~3 <br />
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