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PERMFILE69258
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PERMFILE69258
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Entry Properties
Last modified
8/24/2016 11:14:46 PM
Creation date
11/20/2007 10:47:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001068
IBM Index Class Name
Permit File
Doc Date
8/14/2001
Doc Name
CERTIFIED MAIL RECEIPT
Media Type
D
Archive
No
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f <br />_ <br /> <br />• .. <br />~, <br />M1 <br />m ,/ <br />- Y./ s ~Yr~wb[l. <br />m <br />u-1 Po:u,9e s , ~F~4 UNIT ID: 0976 <br />tr <br />~ Certified Fae ,2- ! ~ ~p\`1 POS <br /> <br />0 RaNrn Receipt Fee ` !~Q ~ Posbn~ ~m <br />(Entlorrsmenl Required) \ <br /> <br />~ <br />C ~ <br />Restdcietl DelNery Fee ~ K 1 T <br />(Endorsement Required) <br />0, <br />~ <br />O <br />Iv q~~~ <br />Vrr p <br />Tofel POelepa6 FSaa ~ 3~ N9r~ ~~ <br />c <br />~ <br />~° <br /> : <br />„ <br />_~. <br />r1J <br />T^ Nams (Please Print Cl~eSrly) (TOW eamplefstl by mall/r r>~ - <br />!1a/Sfs~, <br />h'M/6 <br />~5~47~Yi/ S: <br />G_ <br />1 <br />~ <br />n- -_ <br />_ <br />.. <br />-. <br />Sbvef, A No.' ar PO Bor No. <br />ib ~d~ Cor•klry ~2o.4d Qs o <br />o <br /> <br />r` ---------- ~ -- ----------~--------------------------------~----~--~---------- <br />o/ly, Bg fs, P~ 1 .............. <br />7K ~ ~t1, ~O f~/082 <br />RECEIVED <br />AUG 1 4 1001 <br />Division of Minerals and Geology <br />c SENDEri: ~ ~ ~ ~ - - ~ -~ <br /> <br />'H ^ Complete gems 1 and/or 2 for atldilional services. <br />` Complete hems 3, aa, antl ab. <br /> ^ Print your name antl address on the reverse of This form so Thal we can relum This <br />• Lattl to you. <br />d ^ Abach this farm to the Iron) of the mailpiece, or on the oack it space tloes not <br />y perms. <br /> ^Wrile 'Relum Recerpl Requestetl'on the mailpiece below Iha adicle number <br />~ ^ The Relum Receipt will show to whom Ise article was delivered antl the dale <br />p tlelivered. <br />v 3. Article Addressed to: 4a. Article Nui <br />d <br />a 7099 3~; <br />RD ~C~T C <br /> <br />E , <br />/~ <br />+ <br />/ 7 <br />" "'"`y <br /> ~ <br />. <br />r <br />4b. Service T <br />I also wish to receive the follow- <br />ing services (for an extra lee): <br />1 ~ ^ Addressee's Address <br />2~ ^ Restrictetl Delivery <br />Z <br />N <br />n <br />.~ <br />u <br />m <br />c <br />N <br />0 <br />T <br />Y <br />c <br />F <br />~~ <br />0 <br />u ~~ 880 /' ~ _~„ p_ ~ ~~.D ^ Registered ,~f CeAified <br />w o `-'""'~`" 1 '~'iJ ^ Express Mail ^ Insured <br />G ~~~rp~-DY ~ ^ Return Receipt for Merchantl,se ^ COD <br />f3iD82 7. Date of Delivery <br />-ol <br />Q <br />5. Receivetl By: (Pool Name) 8. Adtlressee s Address (Only it requested and <br />lee is paid) <br />~ 6. Si ddres A en <br />0 <br />T <br />N <br />PS Fonn 3811, December 1994 102595-89-a-022J Domestic Return Receipt <br />~_ _ <br /> <br />
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