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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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- U.S. Pos <br />CERTI tai Serv <br />FIED ice <br />MAIL RE~r ::?T <br />(Domes tic Mai l Only; No InSUrance Coverage Provided) <br />.~ <br />s <br />nmi NEWSPAPER POB] <br />~l Postage S <br />fLl <br />0 <br />~ Cenified Fea <br /> <br />!D Retum Receipt Fee <br />(Entlarsemem Requires) <br />~ <br />~ Restnc[e0 D¢M1Very Fee <br />O (Endprsemenl Regwredf <br /> <br /> <br />p Total Postage 8 Faes @ <br />,p <br />r1J <br />fLl Name (Please Pr/n( C/serly <br />In JACK L, JONES <br />~ Sneer, Apt. No.; or PO eoa <br />.34 <br />!, r - <br />2.10 %. ; ~-~ <br />' r / PcQmark, ,~ <br />1.50 i ~ I ~ Here ^t <br />`<' ~~ ~ ~ <br />3.94 \ g~,c. <br />tr 7576 45TH AVENGE SW <br />o ...----°---'-----...----------'----------' <br />r` ~~~~°T,'~; °WA 98136 <br />Complete Items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />Print your name and address on the reverse <br />so that we Can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front i} space permits. <br />1. Article Adtlresse0 to: <br />JACK L. JONES TROSTEE <br />7576 45TH AVENGE SW <br />SEATTLE, WA 98136 <br />RECD SEP 2 S 2001 <br />m <br /> <br />rmt <br />l NEWSPAPER PIIB <br />. <br />~l Postage S <br />N <br />~ <br />N Certified Fee <br />f1J Rerum Receipt Fee <br />O (Endorsement Required) <br />O Reslnded DeGVery Fce <br />p (Endorsement Requred) <br />O Total Po5laga B Fees <br />fL <br />r1J Name (Please Print Clearly <br />m ROBERT C. b M <br />D-. Street, Apf. No.; or PO eo+ <br />Ir 14649 SE 267T <br />o ---------------------------- <br />Clr . SrarO. Z/Ps 4 <br />t` Q~ ve 9ROe <br />A. Received by (Please Pnnt Cleany) i B. Date of <br />C. Signature ~ ' ` <br />`//Z1/J ^ Agent <br />X ~-jC~gi7 Addressee <br />D. ~I~ E@liverY address tliNere~n~t.fior~ item 1? Q Ves <br />/ Il.YES,t~nter defvery address Delow: ^ No <br />.., .:,~, <br />r` <br />1 r~:; TY~ I`,N <br />~{~ertfiedTvlail ^ ExDress Mail <br />^ Registered ~ Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restrictetl Delivery? (EMra Fee) ^Ves <br />2 Article Number (Copy Irom service label) <br />17099 3220 0002 2025 2346 <br />f~ Form 3811, July 1999 Domestic Return Receipt 102595~OO~M-0952 <br />^ Complete items 1, 2, and 3. Also comp) ' <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and address on the r rse <br />so that we can return the card to yo <br />^ Attach this card to the back of them iece, <br />or on the front if space permits. <br />t. An+cle Atltlressed to'. <br />ROBERT C. 6 MYLA J. MARTIN <br />TROSTEE, REVOCABLE LIVING <br />TRIIST <br />I 14649 SE 267TH <br />KENT, WA 98042 OCT 1 O 2001 <br />REC'0 <br />-_ - ~., r-. ci ~~ <br />2.10 ~ <br />/-~' ~` <br />1.50 ~?nHer~ <br />C/ <br />~ ~ ...~/ <br />3.94 ~.cJ', <br />RECEIVED <br />OCT 1 1 2001 <br />Division of Minerals and Geology <br />A. Received by (Please Pnnt Cleary) IB. Date of Delivery <br />M y~,{. j MAR 7t'r! <br />C. Signature <br />y~ ^ Agent <br />X ~'t+•.(.a?.,. L, ly AGE CS-Addressee <br />D. Is delivery a-tldress tlifferant hum item 1? O Yes <br />17 YES, enter delivery address below. ~ No <br />~. Service Type <br />Certifetl Mail ^ Express Mail <br />^ Registered ~ Return Receipt for Merc <br />^Insuretl Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Ertl Fee) Q Ves <br />2. Article Number (Copy from service label) <br />7099 3220 0002 2025 2353 <br />PS Form 3811, July 1999 Domestic Return Receipt <br />10259500-M-0952 <br />
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