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REP35197
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REP35197
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Entry Properties
Last modified
8/25/2016 12:12:24 AM
Creation date
11/27/2007 7:03:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980110
IBM Index Class Name
Report
Doc Date
11/12/1985
Doc Name
112 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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N <br />I <br /> <br />SENDER; CprtpkH ifaefs t, 2, 3 and 4. <br />Put your atldns in the "RETUflN TO" Waco On tM <br />rowtna Aida Failure to rfo thin will prMnt Misctd front <br />eainq re01rne0 to YOU. jl~rwem farabt ftte will OruYlb <br />YW t}N fIKM Of tfte p~atat rfNiwtrad t0 ana tlN drtteot <br />AMlwrv. For edditbMl tM/ the f0lbwlnp faNki M <br />available. COMUIt pot8natar for fA tMd cheek bpxial <br />for sarvicala) raqultari <br />1. ^ Show to whom, data and arl0ras of rfalWary. <br />z. ^ Rartrictad DNiwry. <br />3. Artit <br />la Adrlraa•atl to'~ <br />~ <br />TY-.fiinC~.G.ti~ Jyl ~~ l-ti . <br />v~D YO ~.~ la0 t~i tic.'f. <br />attn~t. ~/ ~~~ , w ~ OC~3 ~ <br />4. Type of Sarvia: ARicla Nuntbar <br />^ Rngneered ^ Itleured <br />Certified D COD 7 (JIr,~J ~3a 7Ll <br />1 7 <br />Express Man <br />AlweYS Obtain fi~tettlre Of ialdreSleeQ[iyent and <br />DATE DELIVERED. <br />i ~ 5. 9ienetunl- Addnwa - <br />X , <br />8. Si~lalUre - AyMt <br />X ~'~d.GC/~~'/177d t <br />~~ 7. Deb O/DMiVM'V <br />I <br />~ Et. Addresae'a Adtlraaa j <br />I <br />I <br />I <br />y <br />+, <br />V <br />!1 <br /> <br />• <br />P D68 282 744 <br />pRECEIPT FOR CERTIFIED MAIL <br />' _ NO INSURANCE COVERAGE PROVIDED <br />yno NOT FOR INTERNATIONAL MAIL <br />~ (See Reverse) <br />M <br />O <br />n <br />~ a <br />An{ <br />V O <br />d <br />d <br />>~ 41 <br />Yy ~ <br />!1 <br />m <br />N <br />m <br />0 <br />~ LL <br />,~ c <br />[~ <br />~ IL <br />N <br />a <br />Sent to <br /> ~N <br />Street and No. <br /> L) l <br />P.O., St to and ZIP Cod ` <br /> Co !] <br />Postage S <br />CeAilletl Fee <br />Special Delivery Fee t~ <br />Reslncled ry Fne ' p , <br />Return Re howl <br />to whom a to De d ~ <br />Return rec g hom,L' <br />Date, an ry : s <br />707AL aAA.6 <br />~ N L.. <br /> ~V ~ O <br />Poslm rk e <br /> ~j /~ <br />S8~ <br />~ ~ 7 <br /> <br /> ~a <br /> ~ ~ <br />~- <br />• <br />
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