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REV98532
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REV98532
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Entry Properties
Last modified
8/25/2016 3:22:36 AM
Creation date
11/22/2007 12:18:54 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977140
IBM Index Class Name
Revision
Doc Date
6/11/2001
Type & Sequence
AM1
Media Type
D
Archive
No
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1 ~e •r. e. <br />~ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />' ^ Pdnt your name and address on the reverse <br />I so that we can return the card to you. <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addessed to: <br />~~ J~ Vt1liV~G <br />~"ro,,~I'~I~fi.~~1~- <br />~/V~o ~t~-l/ r~fo,~ ~//4t <br />A. eived by (PI se Print Clearly) B. Dat of Delivery ~omplete items 1, 2, and 3. Also complete <br />l l~G/`. I`~C~/~ 5'J~ c~/~~ Bm 4 if Restricted Delivery is desired. <br />~V ~T' riot your name and address on the reverse <br />C. Sign ure y that we can return the card to you. <br />X ~ ( ~ ~ ( ~ ^ Agent [lath this card to the back of the mailpiece, <br />^ Addressee r on the front if space permits. <br />D. Is delivery address different hom item 17 ^ Yes <br />If YES, enter delivery address below: ^ No tticle Adtlressetl to: <br />3. S~ice Type <br />t)Q Certi(etl Mail <br />eglsteretl <br />^ Insured Mail <br />a~Gc ~y'~ul.~i~s <br />^ Express Mail e~ ~~ ~ r~ / _/ ~~~~ <br />^ Return Receipt for Memhantlise v' '(P ( /, <br />^ C.O.D. `j3Yj7/~ <br />4. Restricted Delivery? (Extra Fee) ^ yes <br />A. Received Dy (Please Print Clearly) ~ B. <br />2. Article Number (Copy [rom service IabeQ rticle Number (Copy lrom service labep <br />2D~9_~ynooo/G 5'18-3Yo/ 7D993Yoo o0/f S/8,2 3p1Q3 i <br />PS Form 3811, JUIy 1999 Domestic Return Receipt 102595-00-M-0952 brm 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 <br />I <br />^ Complete items 1, 2, end 3. Also complete <br />item 4 I1 Restricted Delivery Is desired. <br />^ Print your name end address on the reverse <br />so that we can return the card to you. <br />^ Attach this card to the beck of the mailpiece, <br />or on the front IT space permits. <br />t. Arlcle Addressed to <br />(~.(_ ~ ~LJI~f d'1'~ <br />~au~ [~, spa/ ~ '~//y, <br />2. Ankle Number (Copy born service lab <br />~G99 9sioo oo/ f <br />PS Form 3811, Juty 1999 <br />01 <br />^ Agent <br />X /Y ,c,x. f/ r ^ Addressee <br />D. Is elNery etltlree9 different horn item 17 ^ Yes <br />II VES, enter delivery etldress Delow: ^ No <br />A. Received by (Please Pn~nr CleerlyJ ~ B. <br />~74C I' ~9 0 <br />C. Signatu <br />X ~ ~ ~^ Agent <br />MM ! ^ Atltlressee <br />D. Is delivery etldr#ss different hom item 17 ^ Yes <br />If YES, enter delivery address below: ^ No <br />3. Service Type <br />~Certilietl Meil ^ Express Mail <br />Registeretl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Feel ^ Yes <br /> <br />ap <br />3. rvice Type <br />ertimed Mail ^ Express Meil <br />^ egistered ^ Return Receipt for Memhendlse <br />^ Insuretl Mall ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ Yes <br />Domestic Return Receipt <br />102595-OO~M-0952 <br />1~ <br />i <br />m ~, <br />~ Q. <br />Rb o <br />0 ~~ <br />0pO tD <br />C <br />ti ~ 0 <br />o ~• '. <br />v ~' <br />
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