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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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<br /> <br />~, <br />0 <br />~4 <br />~ <br />(t <br />h~ <br />~ <br /> <br />V <br />n <br />o <br />DAD <br />m <br /> <br />uT Poete9e a <br />Ir <br />`~ cortlnea Fee <br />n.l <br /> <br />~ Relum Receipt Fee <br />(Entlorsament Requlretl) <br />O <br />O Rasblctetl Delivery Fed <br />O tEntlorsement Required) <br /> <br />~ Total Poalaes 8 Faee <br />RJ <br />1'U Neme (Meese PrMf ClseMy <br />^~ ~G~r/E /~. C <br />Sfreel Apt No ~ or vo 9u <br />5~ <br />u <br />OMIT ID: 0976 <br />D"' /'707Yo0 ~'4/1y QOhO <br />n ary~~P~ . Go 8/OB 2 <br />RECEIVED <br />AUG 1 4 2001 <br />DiYlsion of Minerals and Geology <br />• <br />v SENDER: <br />w ^ Complete items t anNOr 21or atltl~lional services. <br />n Complete items 3, aa, antl ab. <br />PnM your game arN address on the reverse of Ihis form so Thal we can return Isis <br />j cam to you. <br />~ ^ Allach this form la the Iron) of the mallpiece, or on the bark if space does not <br />a PegM. <br />^ Write 'getum Receipt Requesled'on the man'prece below the article number. <br />C ^ The Retum Receipt wvl show to whom the aracle was delweretl antl Iha tlale <br />o tlelrveretl. <br />d 3. Adicle Addressed lo: <br />d <br />u ~ / 0 r~8 COL.'17}/ 'VJ/1'~ P~ <br />W <br />¢. <br />f 5. Received By: (Print Name) <br />o' 6. Sigoatu/~ (Atldressee or qg <br />~~aez,~ PLQ~ <br />PS Form 3871, December 1994 <br />I <br />4a. Ankle Number m <br />d <br />'7x99 3~zo ~%'t ~9s 35'oS = <br />4b. Service Type 5 <br />^ Registered a <br />Certified s <br />^ Express Mail ^ Insured c <br />^ Retum Reteipi for Merchandise ^ COD ~ <br />7. Date of Delivery Q <br />lee is paid) <br />10259599-80223 <br />I also wish to receive the follow- <br />ing services (loran extra lee): <br />1~ ^ Atldressee's Address m <br />u <br />z~ O Restricted Delivery u <br />a, <br />ed and ~ <br />m <br />ti <br /> <br />
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