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PERMFILE120708
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PERMFILE120708
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Entry Properties
Last modified
8/24/2016 10:19:20 PM
Creation date
11/25/2007 8:40:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001087
IBM Index Class Name
Permit File
Doc Name
RECEIPT FOR CERTIFIED MAIL
Media Type
D
Archive
No
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o SANDER: <br />,v_ •COmplete items 1 and/or 2 for additional services. I aISO wish 20 IBCBIVe the <br />e •Canplete items 3, 4a, and 4D. fOIIOWIng eervICBS (fof an <br />O <br />~ •VriN your name end address an the reveres of this (Dort so that we can return Ihia B%ife feB): <br /> card to you. <br />•Admh this /orm to the horn of the mailpiace, or on the Deck it <br />space does not <br />7, ~ AddfB558B'S Address <br />o Wn1ei1 Return Aepi Re nested' on the mail iece Delow the <br />~ <br />h article number. <br />2. ^ Restricted Delivery ~ <br />y <br /> will s <br />ow to whom Ina article was delivered andihe date <br />~Tha Return Receip <br />~ dNwered. Consult postmaster for lee. <br />Y <br />~ <br />a 3. Article Addressed to: 4a. Article Number ~' <br />° <br />n <br />~3t-PCC6 D~~RO.PO y o <br />~ <br />~ O'~ <br /> <br />E <br />C~ ~ 1 <br />1l <br />onRD oYr yP.ND ~OM <br />\ 4b. Sern <br />'ce Type <br />rtif <br />^ R <br />i <br />d <br />t <br />d CfC ~ <br /> <br />~ <br /> ~ <br />c <br />' _ <br />~~I <br />r,~p 13\~j SHt'RMt',~a ie <br />ere <br />e <br />eg <br />s <br />zp ass Mail ^ Insured <br />^ E r 5 <br /> ~~vY'~ <br />(p\~ <br />^ Return Receipt for Merchandise ^ COD ~ <br /> ~~U~ 1 ~ ~'ap3 <br />' 7. Date of Delivery/A'~ .8 <br />L'~ ~ <br />~ <br /> - Tel k~Lty <br />TCE+J'nON 7 a. <br /> 5. Received By: (Pdnf Name) 8. Addressee's Atldress (Only it requested ~ <br /> and lee is paid) i <br /> f <br />~ <br />i 6. SXnatyre: ddr ssee or Agent) <br />. <br /> Ps Form 3811, December rasa ,; Domestic Return Receipt <br /> <br />Z 228 024 X17 <br />US Postal service <br />Receipt for Certified Mail <br />No Insurance Coverage Provided. <br />n.. nnl „ e In. ~nlnmelinnnl kanil LCwn mvwccwl <br />'~'tac~ of Cw. Sao ai- If+ND <br />Street um r ~R T Rr~ , <br />fat FJRY`rbN 'C <br />Po Olfice, Slate, 6 ZIP C~IQ <br />\~¢ ~r~ w <br />PosUge S <br />Certified Fae <br />Spedal Delivery Fee <br />ResDided Delivery Fea <br />Return Recdpl Showing to <br />Whom 8 Dale DeGaered~ <br />Return Recepl Sho•rgmlHnm <br />Dam,6Add'sue§Mdess ~ `O <br />aD <br />TOTAL Postepa5 Fels <br />N <br />~ <br />~ <br />m <br />Postmark or Dale . ' ~ ^~ <br />v ), <br />IL \ /`~ ~ <br />d "' r <br />naN <br />119 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> S <br />
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