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REV10471
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REV10471
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Entry Properties
Last modified
8/25/2016 1:16:06 AM
Creation date
11/21/2007 10:12:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Revision
Doc Date
11/24/2003
Doc Name
Certified Mail Receipt
Type & Sequence
SL4
Media Type
D
Archive
No
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Iq~i-OiU <br /> <br />rv <br />f~ <br />`^ OMG•1313 Sherman, 8n.115, <br />o- <br />~ Postage $ <br />~ tnwv..~..,.a....-.. _. <br />~ Certifietl Fee - <br />0 Return Receipt Fee <br />G IEntlorsemen[ ReQUiretl) <br />O Restrictetl Delivery Fee <br />p (Entloraement Requiretl) <br />O Total Postage S lees 9 <br />M1 <br />~ RRppCCMlple~nt(x'N-ap)~e (Pleas F <br />~ I.,~!~.~.T.- <br />A Street Apt N .; r oxl <br />q _ Jq~.~1 - ~C. <br />O i State, ZlFr4 ~-- <br />r <br />~ :,, „ <br /> <br />` ~ . _ <br />` <br /> <br />~ <br />- ~ ( <br />. Postvu <br />S ~:-Ra¢ <br /> <br />~~ J ~~~~ <br /> <br />~ ' R <br />. <br />`~ ~\ J <br />.~ <br />- 2 <br />1p~3 <br /> _ <br />ny (to be c(~pleted.tiym r1. lr <br />4~1 ~._.-~1Y1_eQLss_!e <br /> <br />\~.. <br />~~~ <br />~.- '1 <br />~~~ <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 />t. Article Addressetl to: , <br />mo~~ C~~ Cr~mm~ <br />(~1~-tn~~ ('~mm ass tc>nee, <br />ZZI W V~~~~ Way <br />Cr4,9, c.~ ai~zs <br />A. Received by rylease Print Clearly) ~ B. Date of Delivery <br />C. Signature <br />~/J I ^ ^ Agent <br />D. Is delivery 5dd ss differem from hem 1? ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Typa <br />~Certitied Meil ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Inswed Mall ^ C.O.D. <br />4. Restricted Delivery? (EMra Fee) ^ Ves <br />2.. Article Number (Copy /rom service label) <br />70(7b 1l0"1 [~ OC~00 0(0`~ 9`~~"7 <br />PS Form 3811, July 1999 Domestic Return Receipt 10259500-M-0952 <br />
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