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REV94601
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REV94601
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Entry Properties
Last modified
8/25/2016 3:19:58 AM
Creation date
11/21/2007 11:41:43 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1994117
IBM Index Class Name
Revision
Doc Date
8/24/1998
Doc Name
CERT MAIL CARD
Type & Sequence
TR4
Media Type
D
Archive
No
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iii iiiiiiiiiiiuiii <br />999 <br />" SENDER: <br />v • Complela tteme 1 ardor 2 for additiorvl eeMCae. <br />o •Complete items 3, 4a, end 4b. <br />m • Pdnt your name and address on the reveres of this form ao that we can velum this <br />wrd to you. <br />j •Attech Ihie form to Iha hoot of the meilpiera, or on the 6edc if apace does not <br />o permit. <br />o •Wrife'Retum Aeaeipr Aequesred'ontha mailpiece below Ne article number. <br />$ •The Retum Receipt will ehow to whom the enitla was delireretl end the date <br />C delivered. <br />O <br />na 3. Arficle Addressed to: <br />~Z~1-eC. ~Yw-U~onm~r~a~ Cm.:ic <br />y ~01,ln 111`11-~'1"/1~C-~e/rn~~/~S~~x 3tzo <br />W ~yX.~ lMV ` W b l..~C,lIL <br />0 <br />a <br />z <br />Q <br />5. Received By: (Pdnf Name) <br />6. Signs e: (Addre a gent) <br />T X <br />A <br />PS orm 3811, December 1994 <br />rn <br />O <br />m <br />0 <br />LL <br />N <br />a <br />I also wish to receive the <br />following services (tor en <br />Extra fee): <br />1. ~ Addressee's Address <br />2. ~ Restricted Delivery <br />Consult posbnaster for fee. <br />z iqa Sao ~y~ <br />4b. Service Type <br />^ Registered ~ Certified <br />^ Express Mail Insured <br />^ Retum Receipt for Merchandise ^ COD <br />~. Data Dt Delivery 2 4 AUO 1898 <br />S. Addressee's Address (Only i! requested <br />and /ee is paid) <br />Domestic Return ReceiDl <br />J:~y('.. <br />. Z- 130 086„6_ <br />.r , <br />US Postal Service <br />Receipt for Certified Maii~'~~L <br />No Insurance Coverage Provided. r'S <br />Do not use for International Mail See reverse <br />lfNtoCDRTIS Bp.RnmAUnT <br /> w <br />~ro~bbee <br />N1~VLR ST STE 500 ~ <br />~0~I6 <br />+4~c}~0O5 <br />, <br /> m <br />Postage s <br /> fU <br />Certified Fee ~ <br /> <br /> X <br />Spedal Delivery Fee <br />Restdded DaG f h..~r <br />Ratum ar~, ~r <br />Whwn a 'vane ~ <br />Rehm ~ ro Wrioin, f1) <br />Date, ~ <br />TOTA Postage 8 fees ' ~ <br />Postm or a ~' <br /> <br />~P9 oc <br /> C <br /> <br />_ e- <br />m' <br />0 <br />Z <br />N <br />~. <br />Y <br />Y <br />Y <br />t= <br />~. <br />fs <br />W <br />m~ <br />O <br />o~ <br />T <br />C. <br />L <br />r <br />
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