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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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D- <br />N <br />7 <br />~'I <br />M1 <br />ru <br />M1 <br />a <br /> Postage t <br /> <br />O CeNTled Fee <br />O <br />O Refum RetlePrfae <br /> (Endorsement Repaired) <br />o <br />0 ~ ~~e~ <br />rn <br /> total Poetess a Fees $ <br />m <br />~ o <br />~~ <br />N ._....:.. <br />~raM.~ <br /> Is 1, 2, and 3. Also complete <br /> idled Delivery is desired. <br />~ _ to and address on the reverse <br /> t return the card to you. <br /> rd to the back of the maitpiece, <br /> t if space permits. <br />~~ '0 to: <br />~ Ffere _. <br />jLIE/LE, y - <br /> <br />y ~K i ~ 7 t-l` ~~ • , <br />X~ [] Agent <br />1 1~ 1 ^ Addresses <br />B. Rper.ceived by (Printed Name) C. Date of Deliver <br />D. Is deMery a~dress dfierent from item 17 ^Yes <br />if YES, enter delivery address belovr. ^ No <br />y i ~ ~ d ~~ 3 ~ 3. S~Cenifietl Mail ^ Express Mail <br />d d' <br />(Turns/er from service label) <br />PS Form 3811, August 2001 <br />^ Registered ^ Return Receipt for Merchan is <br />^ Insured Mail ^ C.O.D. <br />4. Restdcted Delivery? (Extra Feel ^Yes <br />7~a3 0500 0~~4 1727 5429 <br />D°mesdC Aetum Receipt 2ACPRI-03-P•41 <br />~ ~ . • . . • . <br />7 <br />to ~. ~ <br /> <br />• <br />1, 2, and 3. Also complete <br />A. S' nature _ <br />i <br /> ed Delivery is desired. ~ <br />X - D Agem <br />rM1t.l ~ ~ ~ ~ l„t~~ <br />E~~ <br />l ( and address on the reverse ,~ v ^ Addre <br />t` <br />,a <br />$ / <br />l 3tum the card to you. <br />to the back of the mailpiece, g, Received by (Printed N e) C. <br />~ L /~ ~~ <br />/Q <br />~/~ Date of Del <br />_/',~ <br /> ~ space permits. C <br />- <br />~ <br />0 ~~~ ~ <br />'O' D. IS delivery address differentfromitem l7 ^Yes <br />^ <br />p <br />PoaVnerk if YES, entertlelivery address below: No <br />p Relum Reciept Fee <br />(ErldwSemerrc Raw+red) (~ ~7 S "rsB =~ 10 N yyt <br />~ <br />~ ReshtoleO OeMery Fee <br />(EMOraemerd Rewireig <br />1 <br />G2iA }tee- 1Dl_~(L <br />~ Toter Postage 8 Feea <br />$ ~• ~~ „_ <br />1, ~/y~ <br />t7N~ -i'i 3. Service Type <br />~CertiTed Maii ^Fxpress Mail <br />C},-, <br />I ~~ CX~(0~ ~ ^ Registered ^ Return Receiptfor Merchandi: <br />^ Insured Mail ^ C.O.D. <br /> 4. Restdctetl Deliveryr (Extra Fee) ^Yes <br />7003 <br />ce label) 0500 004 1727 5412 <br />PS Fonn 3811, August 2001 Domestic Rehm Receipt <br />2ACPRI-0&P-0 <br />
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