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PERMFILE120166
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PERMFILE120166
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Entry Properties
Last modified
8/24/2016 10:19:00 PM
Creation date
11/25/2007 8:16:11 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001107
IBM Index Class Name
Permit File
Doc Date
1/25/2002
Doc Name
NCCI PIT 1 FN M-2001-107
From
R C ROLLIN CONSULTING
To
DMG
Media Type
D
Archive
No
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<br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />^ Print your name and n the mverse <br />so that we can return cafe to you. <br />~ Attach this card to the ack dt the mailpiece, <br />or on the front if space permits. <br />1. ArticlA Addressed to: <br />NORTH AMERICAN RESC <br />C/0 LOGAN & FIRMINE <br />333 W HAMPDEN AVE 74G <br />EN ~yOOD CO 8 G <br />Article Number (Copy !rom se a /abelj <br />~~ ~ ~~ ~ <br />Foml 3$11, Jufy 1999 <br />A Received by (Please Print Clearly) B. Date of Delivery <br />C!Stgnatu ,s + <br />X ^ Agent <br />~YY1Zr~n ~Addrassea <br />D. Is delivery address tliserent ham item 77 ^ Yes <br />It YES, enter delivery address below: ~o <br />3. Service Type . <br />r ~8 rtified~l.. O Express Mail -- <br />t~ld ~Raglsterisq.'~r ^Return Receipt for Merohantlise <br />^ Insured Mall ^ C.O.D. <br />``~~-^^ ~ mod?. Restricted^/Deliveryrl (Extra Fee) ^ Ves <br />KJ// 1~C7. ~ ~ /~~ <br />Domestic Retum Receipt 10259SOPM-0952 <br /> <br />^ Complete Hams 1, 2, and 3. Alan complete A <br />Ham 4 H Restricted Delivery Is desired. <br />^ Print your name end address on the reverse <br />so that we can return the card to you. <br />^ Attach tfils card to the beck of the mailpiece, x <br />or on the hunt H space permits. <br />t. Article addressed to <br />Print ~e41 Dj!tYY1Pa <br />+ ' t <br />dresses • <br />is ddNery address dif/erard horn item es <br />If YES, enter d01Nery address below. No <br />t " J ~ 1 ~ ~ lp (,~ i~ Z 3. Service Type <br />/ ~jD~DI ^ Certified Mail ^ Exprssy Malf <br />t 9 N"~S'~ 1 C LJ 0 ^ Registered ^ ReWm Receipt for Merchandise <br />^ InwreO Mall ^ C.O.D. <br />- 4. Resakted DelNery7 (Extra F9e) ^ Ye5 <br />z. ad~leN'>o4~~15~,~7 000 ~3 ~ ~:~~ <br />PS Forth 3 11. Jury 1999 Domestic Return Recept t02595-0PM-0952 <br />
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