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2004-01-12_REVISION - M1989120
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2004-01-12_REVISION - M1989120
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Entry Properties
Last modified
6/15/2021 2:55:54 PM
Creation date
11/21/2007 8:40:05 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1989120
IBM Index Class Name
Revision
Doc Date
1/12/2004
Doc Name
Proof of Notification
From
Applegate Group Inc
To
DMG
Type & Sequence
AM1
Media Type
D
Archive
No
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n <br />0 <br />S <br />Lfl <br />M1 ~ <br /> <br />/. e <br />'~ t>ostnpe E <br /> <br />o cemned Fee <br />0 <br />p Retum ReGepl Fee <br /> (Endorsement Requve~ <br />~ Restdcled Delivery Fee <br />~ (ErMOrsemem Requkad) <br /> <br />~ Total Postage 8 Faes <br />m <br />O r io // ~i (/~' <br /> rear ~i un.' <br />f~- <br />N <br />M1 <br />©. <br />- <br />ra <br /> use s <br /> <br />O CeNfied Fee <br />Q <br />O Return Retiept Fee <br /> (Endorsemem Required) <br />~ Restricted Delivery Fae <br /> (EndoraementRegeired) <br />0 <br />Tatel Postage $ Fees <br />m <br /> <br /> <br /> ems 1, 2, and 3. Also complete a Signature <br />~ <br />~ ;tricted Delivery is desired. ~ ! !'~ ~^ <br />X ! i`~ ^ Agent <br />_ <br />~ ame and address on the reverse ^ Addressee <br />- an return the card to you. erpg~d~,~d~F~e) C. Date of Deliver <br />1tY - :ard to the back of the mailpiece, <br />fl ~ <br />d~ tut if space permits. <br />different from item 1? <br />D. Is tlelivery address <br />^ Yes <br />,~~ sed to: _ <br />if YE address below: ^No <br /> e <br />Postmark i<;3U e wc~/CJ~S <br />%• l <br />T G ~~ <br /> > <br />~t=N <br />f 7-~ HefB 9 2003 <br />EC 1 <br />~ <br /> ~Ohi1LD C!k2 ~OLL . <br />r <br /> 3. ervice Type <br />' / / / _ <br />` <br />' ' <br />~ ~ 5 ~ _ e d Mail xpress Mail <br />Merchandisf <br />R <br />c <br />i <br />t fo <br />^ <br />Y <br />( <br />liQ e t <br />G ~l ~ ~UtG ~.~ e <br />p <br />e um <br />e <br />^ <br />~ C <br />O <br />D r <br />- ~ ( Ins <br />. <br />. <br />. <br /> <br />~ 4. Restricted DeliveM (ire Fee) ^ Yes <br />~~-- <br />---~ -~ ----------"'---""-"""" 7 2 0 3 O 5 ~ 0 0 0 4 17 27 5 4 0 5 <br />3 Z <br />~ ~ ~ t service label) <br />° ,August 2001 Domestic R etum Receipt 2ACPfl1-0.9-P~1 <br /> I <br /> 1, 2, and 3. Also complete A. Si a <br /> clad Delivery is desired. X ~ / ^ Agent <br /> <br />~ a antl address on the reverse ^ Addresse <br />a ~ return the Card to you. <br />i to the back of the mailpiece, S. R eive ~ nt ryame) , C. Date of Deliver <br />J -~ <br />"~ ~ <br /> if space permits. YY/ ~- <br />`3~ ]to: ~ D. IS delrveryaddress ddferent from item l7 ^Yes <br /> if YES, enter tlelivery address below: O No <br />.~ P~~ I NC , <br />~acuE~ L~~V " LU~J <br />/ '"7 G Here , <br />qa q <br />/' <br />C' (] ~~p ~ 3. vS service Type <br />p Certified Mail ^ F~cpress Mail <br />' ^ Registered ^ Return Receipt for Memhandis <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ y~ <br />7003 X500 0~~4 1727 5399 <br />vice label) <br />August 2001 Domestic Return Receipt ?ACPfli-03P3 <br />
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