PERMFILE58557 - Laserfiche WebLink

Home Browse Search

' ` 1 III III IIIIIIIIII III ' . 0 ° v SENDER: • Complete hems 1 antl/or 21or atltlirionel servmes. • ' _ 999 n • Complete items 3. 4a, and 40. ~ •1 ^. ~~ ~. ~'. 1^Yr • , ,.,..r,'d ~ ` C ~ I .~ ~ • Print your name and address on iha reverse of this form so lost we can return this rard to You. • •Atlach tnis form to the Iron) of the mailpiece or on Ise back d space does not . , . , !r' 1 >° t/P ~ / , a , ppam,n. l ~ t • Wnte 'Return Receipt Requesred'on me mailplece below the ancle number. • The Rerum Receipt will snow to whom the article was tlelivered and the dale tlelivered. ' / t ~ " ~ ~ r a re ~ ~ 0 3. Article Addressed to: 4a. Article e l , d n I'~^ ~y~ I/~"`r N~~~~ ~/~ 4b. Service nn ~/ /~ E ^ Re Istered -t-~ / A ~~(r /~ ~~ ~ t ~ ^ Express Mail IU ~Ja CC'h ~ ~,o NG~ err 1 J l , l `C l ~ ` ^ Return Receipt for Merchandise / VLJ~'S~CiKI~E /''U Q,7fL 7. Date of Delivery ~` n ( Or c+.- PU 1 I 1 CCt Idh. ~ (~O~ C4 1 5. Received By: (Pont Name) 8. Addressee's Address (Only a lee is paid) ~Q P e r 6. Signatyie:.L~aGt/(/ ~J '-° PS Form 3811, December 1994 02595-9&8-0229 DomeStiC Ret RECEIVED dUE 142000 Division of Mmerais g Geology ^ Cenifed ^ Insuretl ^ COD u Z N m m s E 'm rx rn c m T C m ,d SENDER: 'v • Complete items 1 andor 21or addeional services. a • Complete items 3, 4a, and 40. 0 • Print your name and address On Ih¢ reverse 01 this form so Thal we can return Ihis wrtl 10 you. ~ • Anach Inis tone to the Ironl of the mailpiece, or on lne back n space tloes not ` ppem,d. ~ • Wni¢ 'Rehm Receipt Requesletl'on the mailpiece Delow the artml¢ number. « • The Return Receipt wAl show to whom the article was tlelwered antl the date tleliveretl c ~~-cc,u v' F E 7. Date of Deliveq ~ a~ 5. Received By: (Print Name) 8. Addressee's Ad and lee is paid) 6. Signature: ddressge or a t) 'o X '-" PS Form 3811, December 1994 tozsss~9e-a-oz29 DOR d M o. 11 `~ ~ ~~ ~~ \9 ~r1w 4b. Service Type u ~~ L~ i 5 O ^ Registered u ^ Express Mail ~~ ~G ^ Return Receipt for Merchandise ^ Certilied ^ Insured ^ COD 0 3. Article Addressed to: 4a. Anicle Number Return Receipt I also wish to receive the following services (for an extra foe): - 1. ^ Addressee's Address ~ ~ 2. ^ Restricted Delivery n r Consult postmaster for fee. n 0 3. Anicle Addressed to: 4a. Article Number v ' ~ `TUDU OS Zp a0(~ 7)r S¢ n ' V `~ ~k f~.. ~`"r 4b. Service Type -) ~ e U m Kc J S ~(~~ `H\, ~ ~~ ~ ^ Registered ^ Express Mail ~ Certified ~, ^ Insured ~ d SENDER: v .Complete hems 1 and/or 2 for additional serves. n • Complete hems 3. 4a. antl 4b. d • Pnnt your name and address on ine reverse of Ihis tone so Ihdl we can return Inis 1° card td you. ~ •Atlach Inis brm to the Iron of me manpiece, or on the back d space tloes not d perms ~ • Write 'Rerum Receipt R¢quested'on Ise mailpiece below Ih¢ anicle number. L • Tha Return Receipt will show to whom the anicle was delrveretl and the date deliveretl. C Vv-CJuFJ'TL.~rTT'Q CCU ,~2.SZ m 6. Signatl. o' X T m PS Farm. or December 1994 102595~9e~B-0229 I also wish to receive the following services (for an extra tee): 1. ^ Addressee's Address 2. ^ Restricted Delivery Consult postmaster for fee. I also wish to receive the following services (far an extra fee): 1. ^ Addressee's Address 2. ^ Restricted Delivery Consult postmaster for fee. i! requested ^ Return Receipt for Mercnandise ^ COD ~ AddresSF:e's Atldress and lee is paid) s OU 0 )sly it requested x m L !- Return Receipt