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 A. Received by (Please Print CleadyJ 8. Date cl Delrvery
item 4 if Restricted Delivery is desired. ..1 ~~
^ Print your name and address on }he reverse
so that we can return the card to you. C. Si~ awre
^ Attach this card to the back of the mailpiece, X ^ Agent
or on the front if space permits. ~~ ^ Addressee
D. tleliv adtlress dMerent from item 1? ^ Yes
,tl 1. Anic~leyA~tltlressetl toT e'+ If YES tenter delivery atldress below: ^ No
~~~ n` ~G r r~ I ul U
~~ a 18 E~ ~lor~h ~Ve .
~,,; ~ t G f 3. Service Type
T ~ \ `~ ~ I o`x v ~Gedified Mad ^ Express Mail
^ Registeretl ~'~eturn Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Res[rictetl Delrvery? (Extra Fee) ^ Yes
2. Article Number (Copy lrom service label)
~t700 ~ b~0 b012 SI Y4 ~Co $ 7_
PS Form 3511, July 1999 Domestic Return Receipt 102595-00-M-0952
^ Complete items 1, 2, and~3: Also complete
item 4 if Restricted Delivery is desired.
^ P
i
t A. Receivetl by (Please Print Clearly) B. Data of Del
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your name and address on the reverse
so that we can return the card to you.
C. azure
^ Agent
~•
+' ^ Attach this card to the back of the mailpiece, X
~ or on the front ii space permits. Adore
~ s tlelivery a tl tLfl n from item 1? ^ Yes
A
F 1. Article Addressetl to: If YES
enter tlelrve tltlress below: ^ No
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2. Article Number (Copy /rom
3. Service Type
~ertifietl Mail ^ Express Mail
^ Registered elurn Receipt for Merchandise
^ Insured Mail ^ .O. D.
4. Restricted Delivery? (Extra Fee) ^ yes
PS Form 3811, July 1999 r Domestic Return Receipt
102595-00-M-0952
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