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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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<br />^ Complete-itemsl, 2~-and 3. Also cpmplete <br />item 4 if Restricted Delivery is desired: - - <br />^Print your naive and addrese on the reverse <br />so that we can return the card to you. <br />^ Attach this cardto Vie back of the mailpiece, <br />or on the front'rf space-permits. - - - <br />t. AmdeAddressedto: <br />//P~~ <br />y~ ~~--cuxc~E <br />s) - C. Date of <br />D. Is delivery address aiBererh tram tern to ^ Yes <br />If YES, emer defrvery address below: ^ No <br />/yL~,'~-~G: W g~303 r 3. Service Type - <br />Certified Mall ^ Express Mail <br />Q RegLStered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. - <br />4. Restricted Drliver fl (Extra Fee) ^ Yes <br />?- A'~aNOn'~r 7003 1010 004 2435 9685 <br />(lransrerfrom ~ervraa raaafJ- . <br />PS Form--3$11, August 2001. ; - - Domestic Return Receipt tozseso2-tt-tsao <br />~ ~ • -~ <br />^ Complete items 1, 2, and 3. Also complete.. - <br />- si nature - - <br />item 4 if Restricted Delivery is desired. ~ 1~1 Agerd - <br />^ Print your name and address on the reverse Addressee <br />so that we can return the card to you. ,Received (Prin c. ivory <br />^ Attach this card to the track of the mailpiece, <br />or on the front if space permits. <br /> <br />t. Article Addressed to: D. is delivery address diHere ~'n 1 es <br /> If YES, erKer delivery adtl below: Q o <br />,~ ~~- in/ 7-~.u5f <br /> ust <br />/,v ~, rJx 7 3 -7 <br />J ~y/11/4'E~10~ ~ ~j// 3`7 a Grcero as Ma~1 ^ Ixpress Marl <br />- - ^ Registered - ^ Return Receipt for Merchandise <br />- ^ Insuretl Mail ^ C.O.D. <br /> 4. Restricted Dalivert? (Extra Fee) ^ y~ <br /> <br />2. Article Number <br />(rransrer from serNCe fatrel) ._ <br />- <br />7003 1010 ppp4 24.36 162 <br />-- <br />PS Form 3811, AUgust 2001 - - ,Domestic Return Receipt lozsssoz-M-tSao <br />
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