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PERMFILE124234
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PERMFILE124234
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Entry Properties
Last modified
8/24/2016 10:21:50 PM
Creation date
11/25/2007 12:24:35 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2006072
IBM Index Class Name
Permit File
Doc Date
9/22/2006
Doc Name
112c application
From
Jeffrey L. Schumacher
To
DRMS
Media Type
D
Archive
No
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i~ •.I u <br />i Complete Rama 1, 2, end 3. Also complete ~ A ~ turn <br />Rem 4 R Restricted De1Nery Is desired. X <br />t PrIM your name and address on the reverse Addras~e <br />so that we can return the card to you. - fvame <br />~ ( ) ~ i <br />t Attach this card to the back of the mailplece, t .- <br />or on the troll R space permRS <br />. <br />tfi <br />ditl <br />1? ^ Yea <br />. Artkie Addressed to: erat <br />om <br />D. b <br />RYES, enter tlelNety address babxt ^ No <br />~yah Loam ~i' i/ ~o.~s.pi5/ <br />c% God ~ ~~~y /Y~eCs <br />~v2/ .rris ~Driv~ <br /> a. ,ype <br />^ E <br />M <br />u <br />d <br />Sf~-/iv~c /~~ <br />~ ,q>reas <br />a <br />c.nmed Man <br />(/ ^ Registered O Return Receipt for Merchandise <br />7 r/ O Insured Mall O C.O.D. <br />~~ <br /> 4. Restrcted Deliveri/1(Extra Fee) ^ Yea <br />"'~"ur"bBf 7006 9199 9006 4941 5991 <br />(nansrtsr fiwn servke Iebeq <br />'S Form 3811, February 2004 Domestic Return Receipt to2sesaz~ra.tsw <br />• • • • • • ~ ~ <br />a Complete kerns 1, 2, entl 3. Also complete A. signawre <br />ttem 4 R RBSMcted DelNery is desired. ? ^ Aeam <br />X <br />~ PrIM your name and edgress on the reverse ^ Addressee <br />s0 that we can return the card to you. Reca ( rued e) C. of Very <br />~ Attach this card to the back of the mailpiece, ~~ ~ (~ <br />or on thefrom Nspace pertnRS. <br /> <br />. Article Addressed to: D. lv diRererd from Item 1? Yes <br />N YES, Amer delhrery address below: ^ No <br />Lana ii Lpvni~ ~',~~ <br />3/S ~a~h S'fne~ f <br /> <br /> ^ Certined Mall ^ Expreav Mall <br />,[, /J <br />-S/ G~ !/ /jGG <br />` ~j ^ ReOiatmed ^ Return Receipt for Merdtartdise <br />~ <br />/ ^ Uraured Mall ^ C.O.D. <br />O U7s/ - [r 3 ~ 4. Restricted Dellvert? (Extra Fee) O y~ <br />'''vtrae"urnber 7096 9199 9996 4941 6994 <br />(narster /rom servloe Isbell <br />'S Form 3811, February 2004 Domestic Return Receipt tozsea-02-M-tseo <br />e <br />~ Complete ttems 1, 2, and 3. Also complete <br />Nam 4 R Restricted Delivery la desired. A. Slgne[ure n <br />~ / A <br />~~eM <br /> ~. <br />X ` <br />"""" <br />r Print your name and address on the reverse O Addressee <br />- <br />so that wB can return the card to you, <br />~ Attach this card to the back of the maitpiece e. R~eNed by ( nted Nprr~ <br />~ <br />' C. a Very <br />~ <br />, y <br />n w <br />4 ),~ <br />! <br />or on the from R space perrntts. ~ <br /> ' O <br />. Artkle Addressed to: Ves <br />D. b delivery eddresv d <br />Merertt from item 1? <br />RYES, solar delvery address bebw: O No <br />//~~ <br />.~ D/C'~r1 ~ovn3~rf- Gairirr~S.Si s <br />3/S` /!1q«i S~rrt!J~ <br />Go9an Coen ~ Q~v/f/io v s P a ,ype <br />C,t~! <br />~ <br />/+ <br />J certmed Man ^E~reas Mall <br />/ <br />G <br />/ ~ G ~ ^ ReplsOBted ^ Return Receipt far MerdharMise I <br /> o imuretl Mai o D.D.D. <br />~o7s~ - ~3 Y9 4 <br />Restricted Dellveyt (FxVa Fee) ^ <br /> . <br />Y6s <br />. ANcieRUmber 7996 0199 9006 4941 6911 \' ~ <br />(rrensNr Iran senAoe feben <br />'S Fonn 3811, February 2004 Domestic Return Receipt tozsesoz~n~-tsao <br />
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