REV92311

• Permit No: M1974004
• IBM Index Class Name: Revision
• Doc Date: 4/16/1979
• Doc Name: SPECIFICATION AGGREGATES FN 74-4
• From: MOBILE PREMIX CONCRETE INC
• To: MLRB
• Type & Sequence: HR3
• Media Type: D
• Archive: No

3
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1. The following servtc
uestetl (check one).
~
L'TJhOw t0 wfigm d e delivered.. ..... G
~ Show to venom. da and address o} dehvery, ._C
^ RESTRICTED DELIVERY
Show t0 whOm and dale dehvered .. ......._C
^ RESTRICTED DELIVERY
Show to whom, date. and address of tlglivery S,
(CONSULT POSTMASTER FOR FEES)
2. ARTICLE ADDRESSER TO:
rC YJ •rl Y, r,t 6,-t i.)C w 111>; ~l1
J Ijc tr ~}]'t3

3. ARTICLE DESCRIPTION
REGISTERED NO ( CERTIFIED NO. INSURED NO.
I 1 `6 ~ 3
(Always obtain signature of adtlressee or agent)
I have received the article describetl above
SIGNATURE
~ Addressee ~}: Authorized agent
l/
~~
a
DATE OFD ER POSTMARK'
r'
5. ADDRE$$(COmplere oNydrepuesiedl ~
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6. UNABLE TO DELIVER BECAUSE: CLERKS
INITIALS
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.bn YOnr aooresr rn inn nc~vn~. ~~ sna~n an•
re•mse

7, Ilowmg service rs requested (cntxk one)
ow to whom and d6te delivered .. __ _C
Show to whom, date, and address df dehvery . __ __C
O RESTRICTED DELIVERY
Show [o whom and d~ to delivered..........._C
^ RESTRICTED DELIVERY
Show to whom. date. x.nd address of dehvery 3_
(CONSULT POSTMASTER FOR FEES)
2. ARTICLE ADDRESSED"O:
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~. ARTICLE DESCRIPTION
CERTIFIED NO. INSURED NO
REGISTERED NO.
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(Always obtain signature of addressee or agent)
1 have received the article dc~scnbed above _ '
SIGNATU ~: Addressee 6 Autho zetl agem
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6 UNABLE TO DELIVER RECAUSE'. -~
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m° • SENDER Complete oems t 2 antl 3
Atltl your acnresi in m¢ RETURN TO' space on
°-3 r¢verse
m 1. Th ollowing service is requested (check one) ¢
o Show to whom and date delivered. ........._
- ~ Show to whom, date. and address of delivery.. --c
O RESTRICTED DELIVERY C
Shovv to whom antl date dehvered .........-
^ RESTRICTED DELIVERY
D Show to whom, date, and address of delivery. E_
m (CONSULT POSTMASTER FOR FEES)
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i 2. ARTICLE ADDRESSED TO: ~~~~ ~L,
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p 3. ARTICLE DESCRIPTION
m REGISTERED NO. ~ CERTIFIED NO i INSURED NO
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m (Always obtain signature of addrosaoe or agent!
m
p I have recaweq the art.de tlescnded aoove
Z SIGNATURE -. Addressee _: Authoraed agent
Q a E 1~//'7 ~ POSTMARK
pAJ~~pEI-_71VERY
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~ 5. ADDRESS'complel¢ Dory it repursrenl
6. UNABLE TO DELIVER BECAUSE CLERKS
iV .iNRIALS
H • SENDER Comoieie ~:e~s t ?antl J
Ada your aoo(ess +n the 'RETURN TO' sOaCe On
°3 reverse ~-~-~
m
= t. the Ilowmg service rs « quested (check onel. C
a ~ Show to whom and da'e delivered........ .
- ~ Show ro whom, date. and address of delivery. -c
^ RESTRICTED DELIVE RY
Show to whom and tla a dehvered ...........r.o
^ RESTRICTED DELIVERY
9 Show to whom, date, and address of delvery. E-
m (CONSULT POSTMASTER FOR FEES)
ti
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m 2. ARTICLE ADDRESSEDI~O:
Z
~ ~.
m
3 ARTICLE DESCRIPTION ~ k` T
m REGISTEPED NO.~ CERTIFIED NO. I It75URED NU
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(Always obtain signature of addressee or agent)
t have received the ad,Ue d~=scnbed above.
SIGNATURE ~ Addressee ~ Authonzedayent
O DATE CF DELIVERY ~
D JJ
Z _ _ ~ ~"~Q
(? 5. ADDRESSrCOmpiete only.r revues t¢ ~
6 UNABLE TO DELIVER BECAUSE:
1571-C-
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