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GENERAL50452
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GENERAL50452
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Last modified
8/24/2016 8:36:50 PM
Creation date
11/23/2007 5:58:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1996084
IBM Index Class Name
General Documents
Doc Date
6/19/2001
Doc Name
CERIFIED MAIL RECEIPTS for original pre-balst survey notifications
Permit Index Doc Type
BLASTING
Media Type
D
Archive
No
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<br />• <br />Certified Mail Receipts <br />\,'Y"~ <br />w~~` '~ <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 it space permits. <br />1. Article Adtlressetl to: <br />C .y n l~'~ ~r1c.~f1 <br />C/a ~- clc~ e 4-1. I I <br />~',r~~e~~, \ X ~SgYO <br />A. Received by (Please Print Clearly) <br />C. Si u <br />l `` <br /> ~ <br />t <br />X ~ <br />' ^ A~131ressee <br />D. Is de address Brent Irom item 1? ^Ves <br />N VE nter delivery atltlress below: ^ No <br />3. Service Type <br />^ Certified Mail ^ Express Mail <br />~Registeretl Return Receipt for Merchandise <br />^ Insuretl Mail ^ C.O.D. <br />d, Restric[etl Delivery? (Exf2 Fee) ^ yes <br />2. Anicle Number (Copy tram service label) <br />PS Form 3811, July 1999 Domestic Return Receipt t02595~00~M-0952 <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 R 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 />135 1~ • j~ln~vhaS <br />Tri~li~4c,~, Co g16~ <br />A. Received by (Please Pdnf Clearly) ~ B. Dale of Delivery <br />C. Signature <br /> <br />D. Is delivery address difrerent tom item t? ^Ves <br />It VES, enter delivery address below: ^ No <br />3. Service Type <br />Certified Mail ^ Express Mail <br />•~ Registered ~'~~eturn Receipt far Merchandise <br />^ Insured Mail ^ C.O.D. <br />d. Restrictetl Delive ry? (Extra Feel ^ yes <br />2. Article Number (Copy !rom service lab <br />o ~ I (~~o do I~ S'/ yy b ~3C~ <br />PS Form 3811, July 1999 Domestic Return Receipt 102595-OO~M~0952 <br />• <br />
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