GENERAL50452

• 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

• Certified Mail Receipts
^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed lo:
~ob ~ ~Qrs~ ns
YYl rise S
C~o I~erngcb~ GrSonS
p $oX 9 8
2. Article Number (Copy fmm service label)
PS Form 3811, July
•
A. Receivetl by (Please Prinr Clearly)
C. Signalyre
X ^ Agent
Lf ~~`'Z?v~~ 0 Addressee
D. ly'6elivery address different fmm item 1? ^ Ves
If VES, enter delivery address below: ^ No
3. Service Type
~Certifietl Mad ^ Express Mad
^ RegisteredReturn Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restrtctetl Delivery? (Extra Fee)
^ Yes
;~-h DO I ~
Domestic Return Receipt
^ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
^ Print your name and address on the reverse
so that we can return the card to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Micle Adtlressetl to:
J ~rirti¢,co ~E~ 5cl~oo
aoa06 Fl~h~ la
l.Jes~on,C~. ~~U9 I
2. Article Number (Copy !mm service label)
102595 00 M~0952
A. Receivetl by (Please Pr~nf CleanyJ B.
C. Si nature-
[ _
X
~
(
1 J
(
~~ ~ ^ Agent
y
,
-
-~ ,
Cfx~ ^ Addressee
D. Is tlelrvery atltlress tlifferent from item 1? ^ Yes
If YES, en er deli very atltlress below: ^ No
CC
1J~tL~

3. Service Type
Certified Mail ^ Express Mail
^ Registered /$Return Receipt for Merchandise
^ Insuretl Mail ^ C.O.D.
4. Restricted Delivery? (Extra Fee) ^ yes
PS Form 3811, July 1999 Domestic Return Receipt
102595~OO~M~0952
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