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2007-07-23_REVISION - M2005021
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2007-07-23_REVISION - M2005021
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Entry Properties
Last modified
6/15/2021 5:33:20 PM
Creation date
11/22/2007 12:37:12 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2005021
IBM Index Class Name
Revision
Doc Date
7/23/2007
Doc Name
Decision Date Extension
From
United Companies
To
DRMS
Type & Sequence
AM2
Media Type
D
Archive
No
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<br />A ^ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restdcted Delivery is desired. ^ Agent <br />^ Print your name and address on the reverse X ~'~ ~L7 Addre <br />so that we can return the card to you. 0. ecaiv d by (Printed-N. e) C. Date of Deli <br />^ Attach this card to the back of fhe mailpiece, p-, Ll <br />or on the front R space permits. 3 ~ ~- ~ T <br />. Is livery r~tl~f~~Qt m item 17 ^ Yes <br />1. Article Addressetl to: If YES, ss low: ^ Nd <br />YYt c r-ly r~ ~~a -~ YY! r. ~ r a fi <br />'1 45 - I $oo ~t~. <br />.~ <br />~I?1 ~p <br />L~ <br />3: Service Tye tl$1'T/ <br />rued Ma ess Mtil <br />^ Registered ^ fletum Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />4. Restdctetl Delivery? (Extra Fee) ^ Yes <br />I -2. Article Number <br />(transfer fmm servlde ladef) 91 7108 2133 3931 7859 5427 <br />~.. PS Form 3811, February 2004 Domestic Return Receipt m25s5-oz-M-tSno; <br />x ^ Complete items 1, 2, and 3. Also complete <br />Rem 4 If Restdcted 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 R space permits. <br />A <br />^ Agent <br />1. Article Addressed to <br />I]~on~ ~\2Upc3.~lz Iri,.3~.- <br />(,J'L IT v.~ ~v <br />eceived by (Printed Name) C. `Date of Delivery <br />5 ~2 y~07 <br />D. Is tlefvery address different from Rem 11 ~ Yes <br />If YES, enter delivery address below. ^ No <br />3. Servic e <br />rtifled Mail ^ Express tvlali <br />^ Registered ^ ReNm Receipt for Merchandise <br />^ Insured Mail Q C.O.D. <br />o f ~j - / ~ 4. Restricted Delivery? (EaT2 Fee) ^ Yes <br />2: Article Number <br />(trans/er imrn service faben ~ 91 719 8 213 3 3 9 31 7 8. 5 9 5 4 5 B <br />PS Fortn3811, February 2004 Domestic Return Receipt ~ 702595-02-M-i54a . <br />,r ^ 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 />A <br />B. Re6eived b'y (Pdnted~Narne) ~ C. <br />^ Agent <br />1. Article Addressed to <br />D. Is delivery address different from Rem 1? U Ye: <br />If YES, enter delivery address below: ^ Nd <br />~~ ryarY I rNi <br />~S4o - I ~~S ~~ # ~1 <br />~t=-I~Ai ~~ 3. Sery~ca Type <br />f ~ (~ Q~Cerifietl Mail ^ Express Mail <br />^ Registered ^ Return Receipt for Memhantlise <br />^ Insured Mail ^ C.O.D, <br />4. Restricted Delivery? (Exha Fee) -^ Yes <br />2. Article Number ~ - <br />(i'rznsferfromservicelzbep 91 718 2133 3931 7859 5496 _ <br />:, PS Form 3811, February 2004 Domestic Return Receipi tnzsss-o2-m-t sas.t <br />
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