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REV106249
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REV106249
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Entry Properties
Last modified
8/25/2016 1:20:56 AM
Creation date
11/22/2007 1:33:16 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1983176
IBM Index Class Name
Revision
Doc Date
3/17/2000
Doc Name
SPEER MINING RESOURCE DMG PERMIT APPLICATION M-83-176 AM-001 ASPHALT SPECIALTIES CO INC
From
BANKS & GESSO LLC
To
RICHARD C & GERALDINE H FROST
Type & Sequence
AM1
Media Type
D
Archive
No
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Complatb items 1, 2, and 3. Also complete <br />item 4 it RestActed Delivery Is deslred. <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 beck of the mallplece, <br />or on the front It space pemnlts. <br />Article Addressed to: <br />~~ t r K S. Kt v <br />a.o . ~a~ y3d <br />~~e2`arJlnl GO <br />OW10 <br />Article Number (Copy from service /ebe/J <br />by (P~se Print Cleary) <br />^ Agent <br />D. Is delivery etldrass diherent Aom hem 17 ^ Yes <br />I} YES, enter delivery address Dalow: ^ No <br />3. Service Type <br />~.CeAiGeO Mail ^ Express Mail <br />^ Registered Return Receipt for Merchantlise <br />^ Insuratl Mail ^ C.O.D, <br />4. Restricted Delivery? (Extra Fee) ^ Ves <br />Form 3811, July 1999 Domestic Return Receipt 102595-99~M-I]e9 <br />a <br />.. <br />Q_ <br />`D <br />. <br />O Q. <br />ru <br /> <br />p Postage 3 .33 .r.~. <br /> A <br />N Certlned Fae ~ <br /> <br />~ Return Ratelpt Fae ~ meM <br />Here <br /> (Endorsement Raqulrs~ <br />O Restricted Delivery Fee <br />4 <br />p (Endorsement Requlredl <br /> <br />Total Pottage a Faaa d. <br />y <br />~ gQ <br />Q <br />O <br />fU <br />fU <br />m <br />D^ <br />D"' <br />O <br />r <br />i ^ Complete Items 1, 2, end 3. Also complete <br />item,4 it Restlcted Delivery is desired. <br />^ Pdnt your name and address on the reverse <br />~ so that we can return the card to you. <br />I ^ Attach this card to the back of the mallplece, <br />or on the front if space permits. <br />i 1. Article Addressed to: <br />X238 Mc~ot~cYale Dr. <br />A. ReceNOtl by (Please Print Clearly) I B~ of De <br />I{ ~ <br />C. Signature <br />X ^ n ~ ^ Agent <br />a.Jll ~--~ Addre <br />D. b tleNvay address dMe t Amt hem 17 ^ Yea <br />it VES, enter delivery add s below: ^ No <br />II ~ ~nta~-rt ~ Cp -~ 4~ ~ <br />n <br />3. Service Type <br />SyvC03_ $S2~ ~GertMed Mall ^Fxpress Mall <br />V J ^ Registered ,Q~,Heturn Receipt for ono <br />^ Insured Mail ^ C.O.D. <br />i 4. Restricted Dellveryl (Extra Fee) ^ Yes <br />2. Article Number (COpylrom service lebeq <br />a ~-2~o1-too-4°~S ~_ <br />PS Form 3811,. tozsgs-9g-M.n <br />t <br />!Y <br />'~:' <br />,~ <br />~~; <br />,. <br />:1. <br />~(. <br />~~} <br />u <br />c <br />c <br />:1 <br />:I <br />C <br />;: ~ <br />;r' e <br />c <br />x. <br />Z 261 680 495 <br />US Postal Service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />.a u.u vc.... .a..a.~at <br />n Io <br />~ <br />5~• <br />r e <br />Street 8 Number ` C T <br />5 Y <br />Post Office, Stets, 8 IP Coda ~g <br />Postage a <br />Certified Fee ~ • <br />Spedal Delivery Fee , <br />Residded Delivery Fee <br />', RMUm Recept Showsig to <br />Whom 8 Date Defvertd <br />F Pa3nn P.ece4#$FO>ripbNlnn, <br />Dale,6ldtressties Adiea <br />i TOTAL Postage 8 Fsee <br />r S ~, <br />t pmbnark or Date <br />HIPPED IA~t L 1 2000 <br /> <br />:. <br />,~ 1~ .{Y <br />,JO <br />• <br />
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