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 Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.)
^ P
i
t
h
d
"
r
n
your name an
atldress on t
reverse
e
so that we can return the card to you. C. ign tur
~
^ Agent
^ Attach this card to the back of the mailpiece, /
h
X ~
~ ~
V
or on the front if space permits. '
' ^~ ^ Addressee

t. Article Addressed to: D Is elivery address different I item 1? ^ Yes
^ N

yX Yla~h ~e~ ~ ~ne~~ If VES, enter delivery atldress below. o
~C~. ~ off[ l5d ~ S
/J 3. Service Type
~/
I/ xr ,. , (
~-~+~ ~ r ` ~ 6 Oa / S ~'CeriJied Mail ^ Express Mall
^ Registered a$Teturn Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Resiricletl Delivery? (Extra Fee) ^ Yes
2. Article Number Copy lrom service label
~On o i~ ~o a~i
,~ .si y~ ns~ s
PS Form 3811, July 1999 Domestic Return Receipt 102595~OO~M~0952
LJ
^ Complete items 1, 2, and 3. Also complete A Received by (P se Print Clearly) e. Date of Delivery
item 4 if Restrictetl Delivery is desired. y(/ ~ SO~(JS G- 9-U

IJ- ^ Print your name antl address on the reverse
so that we can return the card to
ou
C. Sigp~ t re
y
.
^ Attach this card to the back of the mailpiece, X ^ Agem
or on the front if space permits. ^ Addressee
\\v'A~l ^~
1~V-
'
1 1. Adicle Addressed to:

~
I Is delivery atldress different from item 1? ^ Yes
If YES, enter delivery atldress below: ^ No
a~on5
An i
~~4~ ~ A
r
~~. ~IoX o?I U
~r 1 I ' 1 ~ O , ~~ ~~0~ ~
I ' (~{ 3. Service Type p
~ertihetl Mail ^ Ez ress Mail
^ Registered J~Return Receipt for Merchandise
^ Insuretl Mail ^ C.O.D.
4. Restricted Delivery? (Ext2 Fee) ^ yes
2. Article Number (Copy Irom service p
bo 1 ~
~ Ool? ~iyS/ okoY
PS Form 3811, July 1999 Domestic Relum Receipt 1~595~OO~M~0952
,, l1
u