PERMFILE136592

• Permit No: M1979045
• IBM Index Class Name: Permit File
• Doc Name: REGULAR 112 PERMIT APPLICATION
• Media Type: D
• Archive: No

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Add Your Addraa io the "RERIlRf7 I'O" rpace aR
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I. '['he following servim is requested (check one).
Show ro whom and date delivered ~............7A!
Show m whom, date, & address oFdelivcry .....
RFSTRICCED DII.IVERY.
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Show to whom, dare, and address of delivery .) f 1.05
(Pees shown are in addition to postage charges and oiher
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3. ARTICLE ADDRESSED TO:
U. S. Dept. of Energy
P.O. Box 928 _., ..> .:
CO. 80401
3. ARTICLE DESCRIPTION:
REGISTERED NO. CERTIFIED NO. INSURED NO.
1527907 I -
UUrays abtaln alsrrahn oY addnssao or o{ent)
I have received the article dexnbed shove.
SIGNATURE ~ Addressee Authorized agent
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