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2006-01-12_REVISION - M1979103
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2006-01-12_REVISION - M1979103
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Entry Properties
Last modified
6/15/2021 6:06:02 PM
Creation date
11/21/2007 11:38:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979103
IBM Index Class Name
Revision
Doc Date
1/12/2006
Doc Name
Receipt of 110c to 112c Conversion application
From
DMG ets
To
Ms. Diana K. Watson
Type & Sequence
CN1
Media Type
D
Archive
No
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O <br />7 <br />rll <br />O <br /> <br />^ Complete items 1, 2, end 3. Also complete <br />Foetage <br />Cen7Rad Fee <br />Return Receipt Fee <br />(EMorsament Required) <br />(Erridoreemerrt RaWlred) <br />Total Postage 8 Fees <br />'3xSW.d2a,t.orow ~fWrJ. <br />I~~+~o:.Ca 8tzo1 <br />^ -Complete items i, 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 N space penults. <br />1//.~~Article Addressed tc: <br />C.t#AF~D~I` vyrtty ~PIZD p~ <br />y~~~,~~VY~I t`~'~ t r1 ~Rs7 <br />~iOr1E tl~tar~, <br />~1! %-+DA t ~ a120 1 <br />A Signaturo <br /> <br />O <br />~G <br />0 <br />~ Postepe <br />N CerCgaO Fee <br />~ Return Reoalpt Fee <br />~ (ElMOrsemenl Requiretl) <br />' [J Reatrluied DeM~y Fee <br />p^ (Endoreemerd Required) <br />m <br />O Total Postage & Fees <br />V'I t Q. <br />~ (.t#A~( <br />aPOBarNO.`}IAFfi <br />Fiw'firine. nR.~ <br />A <br />~Dnn D <br />DA r C© Qj 1'ZC <br />B. Received by (Pr/nted N e) C. Dat livery <br /> <br />D. Is delivery address di%e ant m i[en ~? Y <br />If YES, enter delivery a is s below: <br />3. Service TYPe <br />^ Certified Maii ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? IExtia Fee) ^ Yes <br />z. 7005 039 X002 8028 X257 <br />PS Form 3811, February 2004 Domestic Return Receipt tozsssoz.M.tsao <br />
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