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PERMFILE63412
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PERMFILE63412
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Entry Properties
Last modified
8/24/2016 11:09:32 PM
Creation date
11/20/2007 7:59:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006021
IBM Index Class Name
Permit File
Doc Date
4/21/2006
Doc Name
112 Permit Application
From
Glade LLC
To
DMG
Media Type
D
Archive
No
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RECEIVED <br />APR 21 2006 <br />pivision ~{Minerals and Geology <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if 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 Atldressed to: <br />-ForkC~11 t~ s (~seTik~.kwn 1~ s.4- <br />`~~ -Seo-v~ e ~n e ~ esS <br />~y~ S nl. C~1le~e ~~R-- <br />Su~l~-e. 3 <br />++ Co~1,~n5,C.~ ~r~s2~1 <br />A Sighature , " / <br />X ~I ~ _. Agent <br />~J ~.~(~ ~~ ~Atldressee <br />H. Received by (Panted Name) C~ D/~to of Delivery <br />~/%/~ OHO <br />D. Is delivery address d'rffereM from aem 1? ^ Yes <br />tt YES, enter delivery atldress below; ^ No <br />3. Service Type <br />^ Certified Mall ^ Express Mall <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (EMrd Fee) ^ y~ <br />z' ArticleNamber 7<JO5 1160 0000 7284 X537 <br />(Transfer from servi.~. <br />PS Form 3811, February 2004 Domestic Return Receipt rozsas-0z-ntasao i <br />
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