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REP27043
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REP27043
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Entry Properties
Last modified
8/24/2016 11:58:04 PM
Creation date
11/27/2007 4:39:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978314
IBM Index Class Name
Report
Doc Date
12/3/1987
Doc Name
110 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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P 168 477 365 <br />AF 78-314 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOT FOR INTERNATIONAL MAIL <br />(See Reverse) <br />~f"atAk W. Hewes <br />~re~t anBOX 184 <br />P.O., State antl ZIP Code <br />O <br />o: <br />C Postage s <br />al <br />h ICe~di~ /~~~ F'.® .^. C <br />Restricted <br />Relurn <br />~ F1eiu`rn rbt <br />m Data, anc <br />c TOTAL Pr <br />m <br />LL <br />°o Postmark <br />E <br />`o <br />LL <br />H <br />a <br />~. <br />.SENDER: Complete Items 1 antl 2 when additional servlcef gre~deslred, antl' omplete I ms 3 <br />end a. <br />Put your address in the "RETURN TO" Space on the reverie fide. ~FaLlu rw laf Flo tD will grave t this <br />' <br />card from being retu rnatl to ypu. ha e u n ace tee I 1A <br />L e' me of the er n <br />ve h el ve For edtllttonal fees the follow) ~ OMJ6ase a available. C nfult <br />poetmeatar for fees end the k boz(efl for additional service(s) requested.' <br />1. XQ( Show to whom tlellvppd, date, antl eddreuee's edtlress. 2. ^ Restrlctetl Delivery <br />t /Esrra charge) t t (£xrra chargef t <br />3. Article Addressed to: 4. Article Number <br />F <br />H <br />k W ~ 168 477 365 <br />ewes <br />ran <br />. Type of Service: <br />P.O. Box 184 ' <br />i <br />~i~ R <br />gistered ^ Insured <br />e <br />Toponas, Co 80479 T <br />~ <br />,, <br />~ <br />/~`~rtified ^ c~ <br />^ E <br />M <br />il t <br /> xpress <br />a <br /> Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. <br />g toe - Addr see 8. Addressee's Address /ONLY if <br />requested and fee paid/ <br />X <br />V <br />6. Signature -Agent <br />X <br />7. Date of Delivery <br />C' <br />- / ` 6 <br />i <br />PS Form 3811, Maz. 1987 t U.S.G.P.O. 19a'!-1]6Yea DOMESTIC RETURN RECEIPT <br />
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