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PERMFILE55831
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PERMFILE55831
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Entry Properties
Last modified
8/24/2016 10:58:33 PM
Creation date
11/20/2007 4:46:13 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1997065
IBM Index Class Name
Permit File
Doc Date
8/3/1997
Doc Name
CERTIFIED RECEIPT
Media Type
D
Archive
No
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iii iuiiiiiiiiu iii <br />999 <br />w SENDER: <br />9 •Complete items 1 endor 2 fo~.oCitiorel services. <br />m •Com <br />te item6 3 <br />4a <br />and Ib <br />l I also wis' -eceive the <br /> <br />nCBS (}Or 8r1 <br />f0110W1ng i <br />m , <br />. <br />p <br />e <br />, <br />• Prim your name end address on Ne averse of trtie form so that we can return Iftis . <br />extra tee}: <br /> <br />j card to you. <br />•Attach dli9 Corm to the horn of the mailpiece, or on the Dedt if apace dose not <br />}. ^ Addre55Be'S Address ~ <br />a <br />y permit <br />•Wnte'Refum geceip( Requestal'on the mailpiete below the anicle number. <br />2. ^ RB5ldcted Delivery o <br />y <br />i <br />~ •The Relum RBCeipt will show to whom the snide was delivered and the date <br />delivered. <br />Consult postmaster for fee. <br />° <br />o <br />v 3. Artlcle Addressed to: ber <br />4a.~A~rtcle-N7( <br />u~m <br />O a3S m <br /> 2 <br />~ ` <br />' <br />~ <br />e <br /> L <br />f}/ <br />!/Y1QR W~cty~ <br />sQR>(ATlpt/ <br />E <br />$ , <br />) ro>7~ [.f}te/~,uy (,J,l, 4b. Servic <br />Type <br />^ Registered .t4-t;ertified ~~ <br />rn ^ F~cpress Mail ^ Insured <br /> ^ ReNm Receipt for Merchandise ^ COD <br /> <br />D <br />a <br />7. Date of Delive q ~,r, <br />~~ ~t x <br />~ f <br />~ <br /> 1 <br />V ~ T <br /> 5. Received By: (Print Name) 8. Addressee's Address (Only i/requested ~ . <br /> and /ee is paid) r . <br /> t- <br />g 6. Signatur : ( m se <br />o <br />T X <br /> PS Form 3811, camber rasa Domestic Return Receipt <br />SENDER; ~ <br />Complete items 1 ardor 2Nr addiaorWl services. <br />18150 WIS f0 reCBIVO the <br />•ComplBle items 3, 4a, and Ib, fOIIOWIng SBNICeS (fOr an , <br />•~n <br />l <br />o uruame and address on the reverse or this Corm so that we can return this e%tfa fBe): <br />d <br />t <br />•Attach Ih s form to the hoot of the mailpiace, or on the back it spate does not <br />! <br />t, ^ Addressee's Address ~ <br />`-' <br />•W~ <br />Relum Recei t Re nested' on the mailpiece below the anicle number. <br />p q <br />2. ^ Restricted Delivery m <br />rn <br />•The Return Receipt will show to whom the anicle was delivered and the dale <br />eeiivered. Consult postmaster for fee. <br />. <br />° <br /> <br />3. Article Addressed to: <br />4a. Article Number ~ <br />v <br /> I'~70 a(v a3 ~ <br /> <br />pftp7. pF -r/2/9NSyDrt TJ~T~r7,u 4b. Service Type <br />tv <br />/yZD Z~? ~.T ^ Registered ,Certified W <br />Cip~e« <br />~' ev • ~Cl 6 3i ^ Express Mait ^ Insured ~ <br /> ^ Return Receipt for Merchandise ^ COD <br /> 7. Date of DelivGyry~ G Q~ <br />~" <br />~ <br />y 1 ~ <br />' <br />a <br /> v/ <br />J <br />b1/h. . <br />5. etl y: 'nf arrre) 8. Adtl sass's Address (ONy i1 requested ~ <br /> and tee is paid) c <br /> <br />X V vv i <br />PS Form 3811, December 1994 <br />
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