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REV95673
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REV95673
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Entry Properties
Last modified
8/25/2016 3:20:37 AM
Creation date
11/21/2007 11:51:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1993088
IBM Index Class Name
Revision
Doc Date
10/11/2001
Doc Name
CERTIFIED MAIL RECEIPT
Type & Sequence
CN1
Media Type
D
Archive
No
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,. .. <br />S <br />~ NEWSPAPER PUP <br />~ Postage S <br />fU <br />O <br />r1J Certifietl Fee <br />f1J Relum geceipt Fee <br />O (Endorsement Required) <br />O ResMCted delivery Fee <br />O (Endorsement Regwredl <br />p Total Posfapa 6 Feee <br />N <br />N Name (P/eeso Pr/nf Cleary <br />m HAROLD O'BRIEI <br />p- Streef, Apf. No.; or PO eor <br />D- RR2 BO% 2431 <br />Q <br />r~ .---y......__~ .................... <br />DfT7JCiyTi i r v.. <br />.34 ~ .. , ,_1~,~\ <br /> <br />2 <br />to /~•~• \ <br />cL~? ~:< <br />. <br />1.50 ^I ~ <br />,2PostmaAC <br /> J ere r l <br />~.:~r <br />U„"J <br />3.94 <br />6 RICHARD 0' <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desiretl. <br />^ Print your name and address on the reverse <br />so that we can return the card to you. <br />^ Anach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressetl to: <br />HAROLD O'BRIEN <br />RICHARIk`0'.BR3EN <br />RR2 BO% 2431 <br />PINEVILLE, MO 64856 <br />B. Date <br />RECE~~rED <br />OCT t 1 ~'~~ ~ <br />OiYiSiOn of Minerals and Grgto9V <br />~'~~ ~~ e O Agent <br />^ Adtlressee , <br />I5 tlelivery address different from dem i? Q Yes <br />II YES, enter tlelivery address Delow: ^ No <br />i 3. Service Type <br />7 ~ Cert,fed Mail ^ Express Mail i <br />I pp[[ rn~ /~r~T ^ Re9isteretl ~ Return Receipt for Merchantlise <br />pG~fU Vli l 4 201 ^ Insured Mail ^ C.O.D. i <br />4. Restricted Delivery?l1=rt2 Feel ^ Yes <br />Z. Article Numher (Copy from service label) <br />7099 3220 0002 2025 2384 ~ <br />PS Form 3811. July 1999 Domestic Return Receipt 702595-OO~M~0992 <br />
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