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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 />Certified Mail Receipts <br /> <br />P- <br />~ io-~ <br />• <br />r' <br />~~ <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 can? 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 />~Y~G1A Corr,QoVG <br />S• C'jai 1 Va~c~PJ~ <br />18050 --I~~h~ ~a <br />1,.~2 S'~-oY1 ~ Co ~ ~ 0~7 I <br />2. Article Number (Copy liom service <br />PS Form 3811, July <br />A. Receivetl by (Please Pnnt Clearly) B. ate of Del <br />~. zo. <br />X $gr~ture 0/~n f' / ~ Agent <br />D~`IS delivery'addres~ tliHere hom rtem 1? ^ Yes <br />I! YES. enter tlelivery dress below ^ No <br />~. S``e--nice Type <br />~2Si;ertifietl Mail ^ Express Mail <br />^ Registereo --~Aeturn Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />d. Restricted Delivery? (Ext2 Feel ^ Yes <br />Domestic Return Receipt <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 if space permits. <br />1. Article Atltlressed to <br />'"i~~ ~ ~r~ee.n ~jCif(~Ic'~ <br />a~G75T~ ~ i ~l~ u;ay I <br />~;F,s-~,,~ , ~;~, ~ iG~ll <br />A. Receivetl by (Please Pnnt Clearly) <br />t0P595-OO~M~0957 <br />C. Signature <br />X ^ Agent <br />^ Atltlressee <br />D. Is tlelivery atldress different from item 1? ~ Yes <br />11 VES, enter tlelwery address below; ^ No <br />3. S ice Type <br />~ertilied Mail ^ Express Mail <br />^ Registered ~ Return Receipt for Merchantlise <br />^ Insured Mail ^ C.O.D. <br />4. Restrictetl Delivery? (Extra Fee) ^ yes <br />2. Article Number (Copy Irom service IabelJ <br />~~U 1~n7y ~Dl~ ~lyy D~ya <br />PS Farm 3811, July 1969 Domestic Return Receipt IOP995~OO~M~0951 <br />1r1 <br />u <br />
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