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REP00404
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REP00404
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Entry Properties
Last modified
8/24/2016 11:29:18 PM
Creation date
11/26/2007 9:38:49 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980041
IBM Index Class Name
Report
Doc Date
6/11/1984
Doc Name
110 ANNUAL FEE LETTER THIRD FOLLOW-UP
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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g~ <br />3 <br />d <br />s <br />~_ <br />• SENDER: Complete items 1, 2, 3, end 1. <br />Add your tsddress in the "RETURN 70" speoe <br />on reverse. <br />(CONSULT POSTMASTER FOR FEES) <br />7. The following urvice rs requested (check one). <br />^ $fiow to whom and date delivered .................... .C <br />Show to whom, date, and address of delivery.. -~ <br />z.^RE9I'RIGTEDDELIVERY -6 <br />(7'he nsMnrd delivery fn it charged in addition ro <br />thr rcrurn naipr Jee) <br />TOTAL ;_ <br />~. aRT1CLE ADDNESSED TfY. <br />~r)me0 G• TBc>_1 <br />L <br />3oS G. 5~ <br />~~FtJ%d~,~'o ~izo/ <br />~. TYPE OF SERVICE: ARTICLE NUMSER <br />^ REGISTERED ^ 1NSUR® <br />~~ <br />° `°° 397 I X15 65 <br />wuL <br />~A ~~ W9ruture Of eEdtliee! M apmt) <br />1 have received the article described above. <br />SIGNATUR <br />^ <br />A <br />essee ^ Aut4priud agent <br />dd <br />r <br />E <br />~ <br />/ <br />y <br />~ <br />~ <br />DA7E OF DEl1VERY WST~IRK <br />S_ ~.>~, . <br />a. E511 (Onlr d ^Vvnrrd) <br />i_ <br />7. t11UeLE TO DEUYER eECAlI6E: it EMPLOYEES <br /> _ INfT7~115 <br />//~~ <br />n <br />0 <br />W <br />e <br />Y <br />J <br />nnv <br />'y <br />.n' <br />K <br />7 <br />aC <br />N <br />~1m <br />C ': <br />E u <br />W ~ <br />d <br />o <br />m <br />m o <br />M ~ <br />P 39' 145 654 <br />AECc'IP7 FCri R?!F:eDl, 7AiL <br />NO INSURANCE COVERAGE PflOVI0E0- <br />NOT FOfl INTERNATIONAL (HAIL <br />$o--1! Isrn Ravene) <br />Sent tp <br />_ <br />4.r GS ~, I/ P2~ <br />rent antl No. <br /> <br />P.O., Sute/ antl ZIP Cotlaqq <br />/2D! <br />i <br />Ll <br />a p <br />qL <br />PoataW S <br />Cartl}lad Fw <br />Spaelel Dellvary FN <br />Rertrlcted Dallvary Fae <br />Return ReeelPt Shpwlnp <br />to whom arM Date Dallvered <br />Return Receipt Showi whom, <br />Date, entl Addra ~~eRy <br />T07AL P Fare ~ <br />~. <br />Postmark or ~` ~ ~ ~ <br />\A ~ <br />°Z <br />Q <br />:\ <br />~VN i~ <br />. <br />
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