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INSPEC40099
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INSPEC40099
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Entry Properties
Last modified
8/24/2016 9:44:27 PM
Creation date
11/18/2007 11:14:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980013
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
11/18/1996
Media Type
D
Archive
No
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° SENDER: ~ I also wish to receive the <br />• Compote items 1 endor 2 for etldidanel services. <br />w •Complet• items a, <a, end 4h. following services (for en <br />• Prim your name end address on Na ravens of this form ao chat we can carom this 6%Ir8 fe6): <br />card to you. t <br />•Aeaoh Ilwa form to the hoot of the meilgece, a on Irw bads if apao does np1 t, ^ Add1eSSBerS AddreS3 3C <br />pemit. <br />•Wdte'Relum Reoeiq Requesred'on~he maipiera bebw the adida nurMer. 2. ^ Restdcted Delivery y <br />•The Retum Rec•iq will stww to whom the snide was delivxe0 eM the tlate <br />delivered. Consult postmaster for fee. <br />. Article Addres ed to: 4a. Article N bar <br />o-~~ rah K~ tie r z C - q sz 4u 3~ <br />4b. service TyQp <br />u QQ ^ Registered ^ Certified • p <br />~Q.~l CtO~AI~l,~1~ <br />,1~7~~^"~,, ~ ~ I ^ Express Mail ^ Insured ~ <br />`- ~ O ~ ~ ()F~i p I } O ^ Retum Receipt br Merchandise ^ COD ~ <br />1- l1'\'1 1SU`l ~'l of Delivery <br />F ' ~ ii <br />i a. <br />5. Received By: (Pdnf N ) ~ 'pddrasSe~'q Address (Only it requested Y <br />` ' ~I rand lee ispaid) ~ <br />~ 6. Signature: (Addressee or Agent) ~ .,, <br />~ X ~_ <br />P5 Form 361 t, fMcembar rasa omeslic Retum Receipt <br />Ol <br />L <br />O <br />O <br />O <br />IL <br />o~. <br />_ ~ 4L6 952 443 <br />Receipt for <br />Certif I (I ~Q <br />No Insur e o v ,rte+~ <br />Da not y~e~~f ran az r~a ~i~Ta <br />ISee Rem R iF <br />nu0 <br />0 <br />lal IP oae ~ y'~ <br />U <br />Postage ~ <br />cernl~ea ree <br />Speoai Deli <br />~.I,. dd4C: 6'. <br />. <br />flesh @~ rv Fee [` <br />fl eapr Snowing <br />to mgDaeDlw re <br />fl urn n io <br />Da .and namessee ~s aaaress <br />TO PO51 <br />B Fee <br />Postmark al <br />1 <br />rJ <br />'rat <br />V/ <br />T <br />(~ <br />_~ <br />
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