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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 />t. Article Addressed to: <br />3 <br />;~ <br />i~7a7 acre /~1~d, ~-«a <br />~cl~ ~~'• ~c~/c~-3zi~r <br />2. A <br />~ PS I <br />~„ __ <br />A Receiveytby (Please Prinf C/earty) ~ @ Date of Delivery . <br />C. Signature <br />,,~/~? Cf-Agent <br />7C,~'SCL1 lrrT1(~%(E11.,, ^ Addre. <br />D. Is delivery atltlress different from item 1? ^ Yes <br />If VES, enter. ivery address below: E~'tvo <br />~ \ <br />~ ~R_z1aa~~ <br />3. Service Typb~ ~/ <br />i~ Certified Mai S ss Mail <br />^ Registeretl ^ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Ves <br />102595~OO~M-0952 <br /> <br />^ Complete items 1, 2, and 3. Also complete A Received by <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. C. Si to <br />^ Attach this card to the back of the mailpiece, ~ ~; <br />or on the front if space permits. <br />- D. Ls tlelivery ads <br />- =i <br />(Please Pn'nt C/eady) ~ B. Date of Delivery , <br />ttem tY~ Yes <br />~ ~ , ~ ; ` t ~ 1. Article Addressed to. <br />( ,. -> 7 ,enter livery address 6elo 4L9'ty <br />7 ~,t-u~r•srr~ .~L'-~ r;%(ti~~ E~r~i `Cr (~~k ~~~' c~ <br />r ~~4 ~ <br />• 1 <br />3. Service Type <br />Q-Certified Mail ^ Express Mail <br />^ Registered i7'Retum Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />4. ResMCted Delivery? (Extra Fee) ^ Yes <br />.. , .,. • <br />i <br />2. Article Nur"''^___.__ <br /> 702 241 X001 017 8551 <br /> - PS Form 3811, July 1999 Domestic Return Receipt t02595~00~M-0952 <br />ti• d"o yrt 1S Ttr~kk' 1•a y `•v 4-a,'^ <br />-Y k"~ ^~ <br />~- <br />~ _~- <br /> tq <br />F <br />a <br />6 i'q <br /> ~ '~' '~~.,,,, ~1r'. fij.s • • • • r <br /> <br />' <br />~ a v.;. <br />`" ^ Complete items 1, 2, and 3. Also complete <br />4 if R <br />t <br />i <br />t <br />d D <br />li <br />i <br />i <br />d <br />it <br />d ' R ~ by (P/e'~ Print Clearly) <br />. e. Date of Delive <br />[~ <br />y <br />- ~ r <br />e <br />e <br />very <br />re <br />. <br />em <br />es <br />c <br />s <br />es o~ N ._ .~Yr-~C <br />. r~1: _ -U <br />~ ° - , r 1 ^ Print your name and adtlress on the reverse <br />~ <br /> - so that we Can return the Card tO you. 'g <br />- ~ <br />I ~ ^ Attach this card to the back of the mailpiece, ~ X ~~ Agent <br />• -'~ ~ -- - ~ or on the front if space permits. <br />Adtlressee <br /> 7 D Is different from <br />~ m 1? ^ Yes <br />- ~ .`. ' <br />- ''~ 7 Article Atltlressetl to: If VES, entTY ~ ss belo v ~'Mo <br /> ) <br /> _ J <br />f <br /> ,. <br />r r <br />- ~ / <br />Certified Mai ` ^ Express Mail I <br />Registered rc <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Num~°•'^__...__ ___.:__ ,_,. _.. <br />702 2410 0001 X107 8568 <br />PS form 3811, July 1999 Domestic Return Receipt <br />102595-00-M-0952 <br />
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