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2003-12-02_REVISION - M1986048
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2003-12-02_REVISION - M1986048
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Entry Properties
Last modified
6/15/2021 6:08:08 PM
Creation date
11/21/2007 8:10:51 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986048
IBM Index Class Name
Revision
Doc Date
12/2/2003
Doc Name
Exh Q and R
From
Washington County
To
DMG
Type & Sequence
CN1
Media Type
D
Archive
No
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<br />r Complete items 7, 2, and 3. Also complete p- <br />item 4 if Restricted Delivery is desired. x <br />it Print your name and address on the reverse <br />so that we can retum the card to you. e <br />~ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />. Article Addressed to~:r ./ /' <br />(1~OY ~1Q h~l^~ur'f Y (OmrnrSSi <br />loryctn l ounTy" Cour'Fhou <br />~-~. j'hor9a~ C/'Or~ <br />X U~O ~~~.~ <br />!. Article Number <br />?rans/er 1mm seMce Isbell <br /> <br />^ Agent <br />D. Is delivery address different fiom Rem 17 V Yes <br />It YES, enter delivery address Delow: ^ No <br />s <br /> <br />• CERTIF IED MAIL ;u RECE IPT <br /> D <br />H <br />M ll O <br />l N <br /> ( <br />Omea <br />C a <br />n <br />y ; <br />o Ins urance Cov erage Pro <br />kr ~- <br />Postage I $ 1.98 <br />~ <br />~ Certified Fee <br />7 ~ <br />I <br />' <br /> C <br />b <br />I Retum Reciept Fee <br />(Endorsement Requlred) , t <br />1.75 {, Poshrro <br />~ .,~ ~ --, ~ <br />1 i <br />° Restricted Delivery Fea ~'r rk' KV5BI <br /> <br />~ <br />(Entlorsement Requlretl) , <br />r ~_~ <br />i ' <br /> ; <br />~ Total Postage S Fees $ 6.63 11 193- ~ <br />3. Service Type :t-I <br />Mall ^ Express Mall 'r> nr TO ' <br />- _- - <br />^ Registered ^ Retum Receipt for Memhantlise ~ -------- - - 0~-- - n-.---- •eZ.. - c N~ ~'!L! S S~ _ <br />~ sneeq r. b.; S ' <br />~ ^ Insured Mail ^ C.O.D. ~ aPO Bar NO. <br />4. Restrktetl DeINery7 (Fxha Fee) ^ yes ~ G'ry, Slate, Z/P+a .I, _ /Yt C Y ~ O ~~ C ~ <br />I ~I " _ <br />Anna nsnn nnnl. 9x54 1,459 i ^ <br />'S Form 3811, August 2001 Domestic Ratum Receipt <br />102595-02-M-1540 <br />I Complete items 1, 2, and 3. Also complete A Signature n <br />item 4If Restricted Delivery is desired. X \ Eij1 I (JCL lyte.`"L°~/ ~ Addressee <br />I Print your name and address on the reverse J <br />so that we can return the card to you. <br />I Attach this card to the back of the mailpiece, (Rented N e) C. Date of Delivery <br />or on the front if space permits. ~~- I ( <br />.Article Addressed to: D. d Nery adtlress dilfereM from item 17 ^ Yes <br />I ES, enter delivery address below: ^ No <br />D15~7?Cf // <br />ao0 Gu• ~'al/~~4 ~/ <br />F~` , /Y~c^rya n f C 4 <br />8'O~o / <br />3. Service Type <br />~Csnifietl Mail ^ F~rress Mail <br />^ Registered ^ Retum Receipt for Merchandise <br />^ Insured Mall ^ C.O.D. <br />4. Restricted Delivery? (Ezba Fee) ^ y~ <br />U.S . Post al Ser viceT ., <br />CE RTIF IED MAIL TM REC EIPT <br />(Dom estic M aff Only ; No Ins urance C overage Prov <br />Q' Postage I $ 1.99 <br />~ Certifletl fee <br />I ~ <br />° <br />1° Retum Reciept Fee <br />(Endorsement Required) <br />1.75 <br />!° Restricted Delivery Fee <br />~,O (Endorsement Required) <br />1tn <br /> <br />° <br />Total Postage 8 F¢es d~ <br />,p <br />b•63 <br />m sane ro , <br />O <br />° -- ;d ~~-YJ ~-~- C~------~c rs.ev- ~-...-- --~. <br />(+- Srre ( pt. No' <br />or PO BOx NO. y-.~1_~~_._~~~-_--..-.~.~4-1... .K_ <br />Ciry, State, ZlPf4 <br />1 r ~ ., <br />. Article Number ' <br />(transfer /mm service label) 7 0 3 0 5 0 0 ~ 0 ~ 1 9 3 5 4 14 4 2 ! <br />I <br />S form 3811, August 2001 Domestic Return Recalpt tozss5o2-M-is4o 1 <br />I Complete hems 1, 2, and 3. Also complete <br />item 4 if Restdcted Delivery is desired. <br />I Pdnt your name and address on the reverse <br />so that we can return the card to you. <br />I Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />.~ ~ 1 <br />A Signature .-0 <br />S.1~~~ o Agent ~ .. . - , .. <br />X ^ Atltlressee ~ . 'j f.TRTl~~RIl1R!",'!T.T!7!!^"!!'al <br />,8. Red b (PdNnfed Nam C. a of Delivery ~ <br />/A/`I) /'GC~~ Z m FC~LT Mt~tGAM, CD 80 61 <br />D. Is delivery address different frem Rem 17 ^ Yes ~ Postage $ 1.96 I) Ql~ <br />. Article Addressed to: ~/ <br />If YES, enter delivery atltlress below: ^ No rl <br />~yJ n ~ ~~ Cerifietl Fee CJ . <br />//Cd-/'AQYJ f/'Qi//( ~ ~ ° Return Reciept Fee "36 • L ~ ~ Pena <br />_ ~ _/ ° (Endorsement Required) 1•~J /; "tom <br />~eCorY~~/ ! ° ResMCted OeLVery Fee <br />~J //~+ // ~/~ L/ I O (Entlarsement Required) ~~.~ ~~ <br />~l~rjQrt CrYUi7yrj G(Jd/f~pU un ~•~).~-~ <br />777 S P 3. Service T ~ O 6.63 11: 1963 <br />/~ YPe I Total Postage 8 Fees ,$ <br />~~ o {,~ O !( 59 / ified Mail ^ Erzpress Mall ~ m <br />(O Registered ^ Retum Receipt for Merchandise) I~ sane 7g <br />^ Insured Mall ^ C.O.D. (° -..-.-R ~.~Y~'L2=1~-....-0.,-. ~{.YY_~'~-~ <br />_ ~ [~ scree a r. o., <br />F l0 70 / 4. Restricted Deliveryt (Extra Fee) ^ y~ i or PO Box Na. ~/ <br />_ I CiN. Srafe. 21Pa4 .._-Q..~- -.-~.-y~•.-.~..-..-F--_-_-. <br />. Article Number ~ Q ~L) ( <br />(>-ransferfmm sanicelaeell 7 ~ ~ 3 0 5 0 0 O ~ ~ 1 9 3 5 4 14 6 6 j ~ <br />c r...... QRt'1 n.. ...~ nnm re....ewo- oar,,.. oad..r cocno.•.r.. cnn ) <br />
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