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INSPEC40417
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INSPEC40417
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Entry Properties
Last modified
8/24/2016 9:44:38 PM
Creation date
11/18/2007 11:16:21 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1990057
IBM Index Class Name
Inspection
Doc Date
10/9/2001
Doc Name
RECEIPT FOR CERTIFIED MAIL
Media Type
D
Archive
No
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III IIIIIIIIIIIII III <br />999 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 Yf Restricted Delivery is desired. <br />^ Print your name and 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 if space permits. <br />1. Article Adtlressed to: <br />Scott ~•4zll fl"• <br />~a~VtIIE /G}I/v(J~~ F~r((!uS <br />1~1~DUi (I~ ~---NJr <br />sra ~ ~ <br />A Received by (Please Pnnt Clearly) ~ B. <br />C. Sig~jlure ~~""~~ ,,~~,,~~ <br />D. I5 delivery adtlress different fmm item 19 U Yes <br />If YES, enter delivery atldress below: ^ No <br />3. ice Type <br />ertifietl Mail ^ Express Maii <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ Yes <br />2. Article Number (Copy {mm service label) <br />~ooo ~~~o a,~o0 bG89 7s.35 <br />PS Form 3811, July 1999 Domestic Return Receipt <br />~'1 <br />m <br />6MG•13 <br />~ Postage <br />~ S/ c `• - <br /> <br />~ Gertd~ed Fe0 ~, '1 <br />/(~ <br />J <br />t7 ~ <br />/, y-k Postmark <br />~ <br />Return Peceipl F O n Here <br />~ IEndarsemem Regwre <br />p Resmcted Delivery F ~ <br />E <br />MO <br />em <br />m Re <br />rad v <br />~` <br />am <br />r <br />rs <br />gm <br />l <br />e <br />O ( ,y <br />0 Tercel Pocbpe 6 Feee I ,$-O"`~~..i.X~l <br />r <br />~ ReciplsnYe Name (Please Pnnl Clearly) (m De comp ICd Dy manep <br />'' S~1I..dezI.,it.-.LERPL/ill~_./r1(~l[iU~.t/~i(Lrxu~.... <br />0 St t, t. No, o Box Np. <br />_ . ~ t~~ 552 <br />O ,IY. Srere. ZIP./ . ........ ...................................................... <br />LE Y' / ~ CEO, ~a~6/ <br />a <br />102595-00-M-0952 <br />
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