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REP31558
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REP31558
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Entry Properties
Last modified
8/25/2016 12:07:47 AM
Creation date
11/27/2007 5:57:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978349
IBM Index Class Name
Report
Doc Date
1/5/1988
Doc Name
RECEIPT FOR CERTIFIED MAIL
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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III IIIIIIIIIIIII III • • <br />a <br />m <br />O <br />o: <br />U'~ <br />rA <br /> <br />m <br />m <br />a <br />IL <br />°o <br />E <br />N <br />a <br />P 051 874 $79 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE COVERAGE PROVIDED <br />NOi FOR INiERNAi~NAL MAIL <br />/Cul\Qu VniCnl <br />ia-Jy <br />S9Cl to C <br />' <br />Q <br />~J i <br />+ L <br />St et and No. <br />S <br />P O., t to and ZIP Code <br /> 5(~ <br />Poste ~ f <br />Certified Fee <br />Special Delivery Fee I <br />4 t <br />Restri F <br />Return Receipt Showing J ~fl <br />7 a <br />to whom antl Da fiver <br />Retum receipt showing to who <br />Date, antl Atltlr <br />TOTAL Po~j@Q ~ad.~O~ <br />-r <br />", , <br />Postmark or ~ <br />t <br />t <br />~~~-, ~, JCi <br />\ <br />~~. <br />~, `dam' <br />~.- -. . <br />:~ <br />_.~ <br />a~ <br />.t <br />i <br /> <br />•SENDE R: Complete Items 1 end 2 when etldltlonel services ere deslreq antl complete Imms 3 <br />antl 4. <br />Put your address In the "RETURN TO" Space on the reverse sltle. Failure to tlo this will prevent this <br /><ertl from being rotu rnetl to you. Tha return raeelpt fee will provide you the name of the oarzon <br />delivered to antl the tleta of tlallverv. For etldltlonel tees the following services are available. Consult <br />postmaster for fees end check boxlesl for etldltlonel service(s) requeetetl. <br />1. ^ Show to whom delivered, data, and eddrasaee's etltlress. 2. ^ Restricted Delivery <br />1/Extra chargeJt 1 /Extra charge/1 <br />3. Article Addressed to: 4. Article Number <br />C~^ <br />'~ <br />C <br />d f ~s 7 y 8 7 <br />^ <br />o- <br />-~ of S <br />e: <br />T <br />i <br />" e <br />erv <br />c <br />^ <br />~ <br />~,3G~ ~ O / G <br />O J Insured <br />Registe;ed <br /> ~%Certified ^ COD <br />~ 1 0 '~ ~~~5~ <br />^a <br />~ ^ Express Mail <br />r <br />U Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />5. Si ature e e 8. Addressee's Address (ONL Y if <br />X requested and fee paid/ ' <br />6. Signature -Agent <br />X <br />7. Date of Delivery <br />~ L <br />PS Form 3677, Maz, 1987 : U.S.G.P.O. tse7-ttbsse DOMESTIC RETURN RECEIPT <br />
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