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2004-03-17_REVISION - M1980183
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2004-03-17_REVISION - M1980183
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Entry Properties
Last modified
6/15/2021 2:53:45 PM
Creation date
11/21/2007 8:00:31 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980183
IBM Index Class Name
Revision
Doc Date
3/17/2004
Doc Name
Notices Receipts
Type & Sequence
AM1
Media Type
D
Archive
No
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' ~ - ^ 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 />• 1. Article Atldressed to: <br />q t <br />~~ ~ 4 I ~-, (~ 1 <br />A. R eived by (Pleas riot Clearly) B. Date of 9yeliv <br />D.. is nature ~ + <br />X ^ Agent <br />/e~._.~ C~c/~ ^ Atltlressee <br />D. Is delivery a ess different from ~m 1? ^ Yes <br />If YES, a tlelivery address below: 'D"No <br />II ~ ~ ~ ~ ~u04 <br />.. !., ~'~ ~ )~C1 L-~,~ ~_~' 3. Service.Type <br />~~ ^ Certified Mail ^ Express Mail <br />!) y f'~. <br />l~l { LC ~.~~~+~ I ~ Li ,~!/1f +~ !"1' ~ Registeretl l3~Return Receipt for Merchandise <br />,1L'l! ` ^Insured Mail ^C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />2. Article Num - ' ' <br />7002 2410 001 X107 8445 <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />' ~ ^ Complete items 1, 2, and 3. Also complete <br />item 4 ii 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 />- 1. Article Adtlressed to: <br />l~2 ~I~I cry , ~rc~ ~cc~ c; ! <br />A. Received by (Please Pnnf Clearly) ~ B. Date of Delivery ~ <br />C. Signature <br />X ^ Agent <br />~--xJe ^ Addressee <br />D. Is delivery adtlress different from item 1? ^ Yes <br />If YES, enter delivery address below: 'QNo <br />t'iAtc U ;! L00~ <br />3. Service Type <br />CfiCertified Mail ^ Express Mal <br />^ Registered ~~Retum Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Fxtre Fee) ^Ves <br />.: <br />. ,'.;.~ 2. Article Number "' I <br />702 2410 X001 0107 8476 <br />' - PS Form 3811, July 1999 Domestic Return Receipt tozs9s oo M os5z I <br />~~.. ~.::......:.,.;...S4:al <br />s..,'~~`iF"~-^°~wy.~ y S., `-~F m :+7 ^ Complete items 1, 2, and 3. Also complete A. eived by (Please Print Ckany) B. Data of Delivery <br /> <br />item 4 if Restricted Delivery is desired. <br />~ 1 <br />i <br />~ ,r + ' ; '` <br />' - "~ ^ Print your name and address on the reverse <br />so that we can return the card to you - <br />L <br />S~n <br />°re <br />/ C° <br />~ <br /> . nhe <br />% <br />y <br />- <br />` ~ A <br />ot I <br />I ^ Attach this card to the back of the mailpiece, ~ <br />eJr! rF / v7 s <br />g <br />. 1 <br />~ <br />~ or on the front it space permits. ^ Addressee <br />~ ~' _. ~.~ i' . - ~ <br />• <br />; ~ ` <br />. D. Is delivery adtlress tlMerent from hem 1? ^~es <br />, <br />j 1. Article Atldre55etl to: If YES, enter deliv <br />ery atldress below <br />: f] No <br />s. <br />~' <br />~ urr <br />~~~hi~~r~~ t ~~ ~l <br /> J <br /> <br />~ ~ <br />F 3. Service Type <br /> <br /> <br />r <br />r <br />I n <br />~l i {~~ J <br />~~'f~'Cy <br />~'~~( <br />~ f~ <br />^ Certifietl Mail ^ Express Mail <br />^ <br />~ R I <br />r <br />3 1 <br />I~ <br />s J Registered <br />eturn Receipt for Merchandise <br /> <br />` a - + - t <br />J <br />^ Insuretl Mail ^ C.O.D. I <br />+ a . <br />4. Restricted Delivery? (Extre Fee) <br />^Ves I <br />r <br />c4 ' -~° 2. Article Numbe-,^__.~_-__.,__._.. _., <br /> <br />;; '_ s <br />702 2410 cool <br />0107 8421 I <br />._~ <br />~~~ PS Fomt 3$11 ,July 1999 Domestic Return Receipt 102595-00-M-0952 <br /> <br /> <br />
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