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2005-12-27_REVISION - M1992054 (2)
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2005-12-27_REVISION - M1992054 (2)
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Last modified
6/15/2021 6:08:03 PM
Creation date
11/21/2007 5:27:42 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992054
IBM Index Class Name
Revision
Doc Date
12/27/2005
Doc Name
Proofs of mailing and affidavit of publishing
From
M Carnahan
To
DMG
Type & Sequence
CN1
Media Type
D
Archive
No
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M1 <br />^ Gompie[e items 1; 2„and 3. Also'dpmplete' - <br />- -item 4°rf-Restricted Delivery is desired. " - - <br />"Ir Runt you name andaddress dn.the reverse" <br />so-that we car2tetum the card to ybu. " <br />~ Attach this card to the back of the mailpiece <br />or on the front rf space permits. - <br />1.-Article Addressed 20: ' - - - <br />[~- ~ ~ ~~uf l re-k <br />g ~ , HL,;y ~s-~ <br />C2uro, Gv <br />Sl3a 3 <br />~~~ i <br />" ~ u Haoressee <br />recerv' / y ( yap Neme) C. Date of Delivery <br />11 'a l/i F <br />D' V~dddress dtfferem from ifern 17 ""^-Yes - " <br />.A S. _en ervadtlress-below.,- ^Nd- <br />NOY ~ 3 2C~'~ <br />q vcru,wu Mail.. ^ Fxpn;ss Mail - <br />^ Registered .^ Retum Receipt for Memhantl~e <br />Insured Ma{I ^ C.O.D. <br />4. Restricted Delivery? (E+6a Fee) ^ Ves . <br />r <br />z. ArtideNUmber 7pp3 1~1U ~~~4 2436 1619_ <br />(Tiarisferlrom seMce te6at) __ ,~, ,_,_-_ ___:.. ------.--. --- .. . <br />PS Form-3811; August 2001 'Dommticiietum-Receipt - - - - tozsssaz-ni-tsao <br />/.~/'~'`~ ~ "'~-Ur C/J ZSl ~~-1 - 3. Se ce <br />a~- Q' <br /> e <br />EvtfffiY Express Ma(1 <br />" - ^ Registered ^ Re[um Receipt for Merchandise <br /> ^ Insured"Mail -^ C.O.D. <br />- - 4. Restricted Delivery'! (Ex6a Fee) ^ Yes" - <br />r <br />ticle Number <br />z. A <br />- <br />- 7003 101 004 2435 9692 <br />(rrensterlrom servke <br />fane9 <br />PS Forn 3811, August 2081 " - - - Domestic Retum fieceipt - - - - " " Sozsso2-n2asao <br />^ Complete items 1, 2, and 3::AISO complete -: A 5ignatu - <br />~ _" " <br />kem 4 if Restricted Delivery is desired. - - <br />X <br />~ ^ Agem <br />^ Print your name andaddress on the reverse- - <br />/ r ~AUdn>ssee <br />so that we can return the card to you. <br />^ Attach this card to the back df the mailpiece, g, Recavetl by (PrinteU Name) -. <br />- C. Date of Delivery <br />or on the froM'rf space permits. <br />" " <br /> D. Is dNNeryaddress dMerem frem item 17 ^ Yes <br />t. Article Addressed to: - p. <br />HYF3,enterdeTivery';addressbelow.- <br />^No <br />~] - - <br /> ~ <br />~ y ~,' ~ <br />,' -{ <br />va <br />P ~ ~ <br />~= <br /> ~ ~ <br />, <br /> <br /> <br />
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