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PERMFILE116561
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PERMFILE116561
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Entry Properties
Last modified
8/24/2016 10:12:23 PM
Creation date
11/25/2007 2:29:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1992038
IBM Index Class Name
Permit File
Doc Date
3/25/1992
Doc Name
REGULAR OPERATION 112 RECLAMATION PERMIT APPLICATION FORM
Media Type
D
Archive
No
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~tlvutrs: <br />Conq~lete Items 1 endlar Z for edditlenel •ervlces. <br />I 8150 Wlah t0 fecBIVB the <br />• <br />• Comnlate hems 3, end 4e 8 b. IOIIOWing aefvlC09 (lof en B%lfe <br />• Prim roar name end eddrsaa on the revsrae of thl• loan eo that we een <br />return thh card to you. ~ (eel: <br />' <br />• Annch this term to the Iront o/ the mellplsce, or on the beck II apace 1. ^ AddresSee's AddrBSs <br />does nut permit. <br />• W,ho"flBlllfn flecelpt Peeueated"an the mellplecs helow the article number. 2. ^ RBStflcled DBlivefy <br />• The lleturn Receipt Fee will provld•you the alpneture of tha Deraon dellvera <br />to end the dole of delivery. <br />Consult oatm85ter lof lee. <br />3. Article Addressed lo: <br /> <br />(o <br />~, <br />~~rcF tnoaa~ 4e. Article Number <br />P 733 Co/3 933 <br />y 46 <br />l <br />T <br />/ <br />/~~ <br />t.u/71 <br />NVI ssl ~lFrS . erv <br />ce <br />ype i <br />Registered ^Insured <br />^ <br />C <br />~/ <br />'y ~~ S~21 sf'f <br />l.~~ ~VBII(ti Q r-~~ <br />r <br />µu Certified ^ COD . <br />~ <br />/ <br />n (yam / <br />~l <br />~L ] <br />O ^ Express Meil ^ Return Receipt for <br />Merchandise <br />fCq 7 <br />1 <br />`- <br />Q(/[Dd ~ 7 <br />Date of Del <br />C <br />~f . <br />i ~ <br />~^ela~ <br />5. $illneture (Addressee) 6. Addressee's Address (Only Il requeeled <br /> and lee Is paid) <br />6. Siynelure lAgentl <br />PS Furm ~ 11, November 19 0 au.s. oPO: Iwt-xeinee ~ DOMESTIC RETURN RECEIPT <br />• <br />J <br />RI ~ <br />moa <br />0- W oa <br />(..' w ~ N <br />m¢~° m <br />aw>~m <br />~i¢ ~ <br />m0?LL v, <br />m ~~ <br />nao <br />w~ <br />U <br />al¢ <br /> ~ <br /> <br />S <br /> <br />~ ~ <br /> <br />~' ~ <br />a <br /> <br /> <br />y V <br /> <br />~. _ <br />.'~ <br />o <br />2 <br /> <br />'~. <br /> <br />r <br />.. a, <br /> ~ Y <br />_ ~~ <br />O d <br />~ o z <br />'m rM <br />'O <br />b YV <br />.. i +-r v <br />LL 4 <br />o .~~p <br />Srya <br />O <br />a <br /> <br />o, D~ <br /> <br />u^ <br /> <br />la~ <br />~ ~ <br /> <br />o'~ ~.f <br /> <br />~ <br />" j <br /> <br />o <br />a <br />uA Y <br /> <br />~ q <br /> <br />O <br />Fl <br />d <br />'•~ <br />w~ <br />V <br />N .. <br />P <br />m <br />d <br />O <br />~ v <br />d <br />y <br />QE <br />~; <br />¢A <br />jai <br /> <br />a <br />~ <br />A <br />E <br />C <br />r`n ~ ~\ <br />a a° C <br />U v1 ¢ a 9 R O ~ n° <br />sgfil 0unr'ooee W,oj sd I <br />LJ <br />
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