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INSPEC40464
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INSPEC40464
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Entry Properties
Last modified
8/24/2016 9:44:40 PM
Creation date
11/18/2007 11:16:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976009HR
IBM Index Class Name
Inspection
Doc Name
MINERALS PROGRAM INSPECTION REPORT
Inspection Date
10/9/1996
Media Type
D
Archive
No
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Z 416 ~:.8-- <br />Receipt.#Ra ~ M~( <br />CertifiecjlVlall ~~~~p7j~ <br />~~o Insurance Coverage~viAo~ <br />_~ Do not use for International <br />ISee Reversal .1D <br />0 <br />a <br />L <br />rt <br />O <br />O <br />E <br />`o <br />LL <br />N <br />a <br />i i <br /> <br />4 <br />Y ~I I <br />J <br /> <br />iii r.r <br />',ot..~, ~.,..~ ~ v,.. <br /> r <br />._ <br />4 e ~ p - <br />neWm Pvy~pl tinNn r~ rl <br /> <br />Fe'u'^ Pi~Ci cl 1nU.v~ r ~4 <br />, a <br />Dmr end AppR arr. Paa <br />o <br />`DMA. om'.,Ur <br />8 fvrr <br />Pt!$Ima~4 0' ~n le <br />T <br /> <br />. <br />- 1 <br />r <br />~ SEhDER: <br />•Complete itel^- ~ anNOr 2 ror addhKKlal services. I also wish to receive the <br />a sCamplete Its Ie, end 4b. Jbwing services (for an <br />• Pdnt your na~_.ntl address on the mvarae of Ihie lone eo Inat we can return Iri; Xtre f6e): <br />cerC to you. ai <br />~ •~~; this loan tc the hod of Ina mailpieca, or on the Eetll if space does nd 1. ^ Addressee's Address it <br />e •Wdle'RerumReceiprA6erresfed'ontMmeilpiacebelowthe~nidenumber. 2.^RBSMCtedDBlivery Jj <br />~ •Tha Relum Receipt will Now to whom the snide was delivered era ins data ~ <br />c deivered. Consult postmastertoriee. <br />3. Ar'ticl~e ( ressed tq: 4a. ArfiGe NuIm^ber <br />ScoH~(4 <br />n 4~W "I <br />B ~/Y~2VY'lf (,11s_lJ C ab. Service Type ~ <br />^ Registered IS t;ertified <br />^ tic ss Mail ^ Insured a <br />3 <br />/~~~1,~, ~~.(,~ //~~ qyy etumReceiptf rMerchand'se ^ COD ~ <br />~ Spv,v,~S W DU"1 I D 7, Date of Deliv 3 <br />.J /O G ~ a <br />5. Received By: (Print Name) 8. Addresse 's Address (Only it requested ~ <br />end !ee is pafdJ <br />g 6. Sign : ( ressee ar nf) <br />T X 7 <br />• <br />PS Fonn 811, em er ssa Domestic Return Receipt <br />
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