PERMFILE111199

• Permit No: M2000030
• IBM Index Class Name: Permit File
• Doc Date: 4/6/2000
• Doc Name: DOMESTIC RETURN RECEIPT CERTIFIED MAIL RECEIPT
• Media Type: D
• Archive: No

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~ Certlfie0 Fae I• ~ O ~ "; ~ ~
~ Retum gacelpt Fee ~ Pq~~eih j
(Entlomemenl Required) ~• O~`~ ~ ~I
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O ResltlaeO DNlvery Fee "~'~
O (Entloreement Required) _
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ti erye )P/eaee Prlnt Clearly) (TO be corpplofetl by mel )
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^ Complete items ~, 2, and 3. lE50 complete
item 4 if Restricted Deliveryisdesired.
^ PAnt your name and addressbn the reverse
sQ that we can return the carC to you.
^ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Adtlressed to:
~ub~r~ ~~;« G7o of
113 cQ 33~
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A. Received by (Please Pnnt CleanyJ B. Date of Delrv
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C. Signat e
^ Agent
X C~ ~ ~p J ~/LO Addressee
D. Is delivery adtlress tldfe%nt Imm item ~? ^ Yes
If VES, enter tlelivery address below: ^ No
3. Service Type
~Certifietl Mail ^ Express Mail
^ Registeretl ^ Return Receipt for Merchandise
^ Insured Mail ^ C.O.D.
4. Restricted Delivery? (EMrd Fee) ^ yes
2. Article Number (Copy Irom service label) ^O C ~ ~r77o
/~/ ~ 879G OK~3
PS Form 3811, July 1999 Domestic Return Receipt
102595-99-M-1 ]e9
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