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2003-10-29_REVISION - M1987092
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2003-10-29_REVISION - M1987092
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Last modified
6/15/2021 2:15:25 PM
Creation date
11/22/2007 12:33:08 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987092
IBM Index Class Name
Revision
Doc Date
10/29/2003
Doc Name
Amendment Application
From
Jordan C. and Jone L. Burdick
To
DMG
Type & Sequence
AM1
Media Type
D
Archive
No
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ASCS-592 <br />i (o~-of-st) <br />USDA-ASCS <br />Received of <br />For the Pur[ <br /> <br />201501" <br />(FARM, LOAN, ETC.) <br />r ~ <br />c^~1Q! LZ% bin ~iLC~,~ <br />(srATE) - ~ ~~ ASC County Committee <br />(COUN ~. <br />CA CHECK ~ ONEV ~ ~ ~~ /~.~~~-'E~ <br />(SIGNATURE) (DATE) <br />All checks and drafts are subject fo collection (See nafrcn on reverse/. <br />(~~~1 <br />Y I <br />U <br />I <br />W <br />RECEIPT <br />(To be tlelivered to payer) <br />%' <br /> ~ <br />/ <br />DATE /~~ FOR <br />~ <br />/' / <br /> <br />ACCOUNT NO _ <br />~~ /_~ <br />> ~~ <br /> ~ ~ <br />BY <br />V ~ ~~ ~ ~~6-=~' <br />APPRO <br />ED <br />. ~ <br /> ~t-~ <br />t~ <br /> <br />RECEIVED BY , <br />, <br />~ <br />' (/~ <br />C <br />_~isS~-~ <br />$, .en+ <br />SC115E <br />RECEIPT No. <br />No. <br />
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