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REV99093
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REV99093
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Entry Properties
Last modified
8/25/2016 3:23:03 AM
Creation date
11/22/2007 12:23:40 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981107
IBM Index Class Name
Revision
Doc Date
7/7/2000
Doc Name
CERTIFIED MAIL RECEIPT
Type & Sequence
AM3
Media Type
D
Archive
No
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^ Complete items 1, 2, and 3. Also complete <br />item 4 it 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 if space permits. <br />1. Article Atldressed to <br />~ c ~~~~~ ~ ~c< <br />13aX 13~s" 037 E <br />~ yo~~~ ~o ~' nsyo <br />2. Micle Number (Copy rmm service label) <br />. Received by (Please Pnnr Clearly) B. Date of Delivery • <br />7 7-~ <br />C. Signatu <br />_,~ ~ / C]IAgent <br />X %% rri . o., r ., ofd ~ ___ <br />rs tlelivery atldress different fiom item 1? ^ Yes <br />It YES, enter tlelivery address below: ^ No <br />~. Service T pe <br />eni(etl Mail ^ Expres5 Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Yes <br />PS Form 3811, July 1999 Domestic Return Receipt <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 />^ Ariach this card to the back of the mailpiece, <br />or on the front i( space permits. <br />1. Ankle Addressetl to' <br />2AUL Vas ct u~z <br />~- y e 'n s ~' O ,~ v,%`y p <br />Article Number (Copy Imm servrce label) <br />102595-0O~M-0952 <br />A. Reserved by (Please Prinr C/eany) rB. Date of Delivery <br />7 ~o ~o~ <br />0. ~S~gnat/VVre~? <br />X C~]f/ ^ Agent <br />'~~"~ ^ Atldressee <br />D. Is delvery dress tl erem from em f? ^ Yes <br />II YES, enter delivery low: ^ No <br />3. ervice Type <br />ified Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Merchandise <br />^ Insured Meil ^ C.O.D. <br />4. Rastrictetl Delivery? (Extra Feel ~ y~ <br />S Forth 3$11, July 1999 Domestic Return Receipt <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 if space permits. <br />1. Article Adtlressed to <br />~~urk ~~ ~~fn <br />~Y~,yt1` F~a ray ~ UuS~~ ~~ d <br />_z j- ~~ 1 yc r ri't a u ~~`k~t ~~ v e <br />'JcGc ~C~PY CU %~'030i <br />2. Article Number (Copy from service label) <br />102595-0O~M-0952 <br />A Received by (Please Pnnr Cleady) I B. <br />C. Signature .~ ~ / <br />p ^ Agent <br />D. Is delivery address different item 17 ~ Yes <br />If YES, enter tlelivery address below: ^ No <br />3. Service Type <br />~'l.ertitred Mtil ^ Express Mail <br />^ Registered ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (Extra Fee) ^ Ves <br />PS Form 3811, July 1999 Domestic F~eturn Receipt 10259500 M~0952 <br />
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