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REP35648
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REP35648
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Entry Properties
Last modified
8/25/2016 12:12:58 AM
Creation date
11/27/2007 7:11:05 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978349
IBM Index Class Name
Report
Doc Date
1/8/1990
Doc Name
111/112 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br /> <br />• SENDER: Complete items 1 end 2 when etlditional services ere tlesired, end complete items <br />3 and 4. <br />Put your addreae in the "RETURN TO" SDace on the reverse side. Failure to tlo this will prevent this <br />card from Deing returned [o ou. The return recei t lee will rovide ou the name of the arson delivered <br />to antl the tlete of deliver .Fore Itlone ees t e o owing services are aval a e. onsu t postmaster <br />or ees en c ec: ox es for additional serJice(sl requestetl. <br />1. ^ Show to whom delivered, date, end addressee's addreae. 2. ^ Restrictetl Delivery <br />(Enro cMrge) lExtm cMrge) <br />rticle <br />A <br />ddres <br />3. <br />A <br />s <br />ed <br />to <br />: 4. Article Number <br />/~ <br />' <br />` <br />C <br />, <br />/ <br />~ <br />, <br />_ <br />~ <br />G <br />n ), <br />~ ry LI ~o Z <br />1L <br />~C.. <br />I~LC.CJIZ ~L~J~-I l.L <br /> Type of Service: <br />~D,/ JC,/~ ^ RBgiaiered ^ Insured <br />Y O B Certified ^ COD <br />(~• 1 n ~ C//_Sil <br />C/ <br />' O <br />A ^ Eaprese M II ^ Return Rateipt <br />for Merchentlise <br />I(1 <br />lv <br />~ <br />. <br />u <br />r Always obtain signature of atltlrassee <br /> or agent end DATE DELIVERED. <br />5. Signet - dre ~ S. Addressee's Address (ONLYif <br />d <br />od) <br />t <br />d <br />X~ reques <br />e <br />a <br />fee pr <br />8. Signature -Agent <br />X <br />7. Date of Delivery <br />\~~ <br />PS Form 3811, Mar. 1988 • U. S.G.P.O. 1988-212-885 <br />Or <br />d <br />G <br />7 <br />O <br />n <br />E <br />0 <br />a <br />_6 <br />DOMESTIC RETURN RECEIPT <br />P.767 447 662 <br />RECEIPT FOR CERTIFIED MAIL <br />NO INSURANCE CUVEMGE RRUVIUEO <br />NUi FOR INIERNAiIUNAL MAIL <br />pG (See Reverse) "7R. 3y9 <br />Sent to <br />Street and No <br />P _Slal and ZIP Code <br />8/ <br />SD <br />Postag S <br />Cendietl Fee <br />$penal Delivery Fee <br />Reslricled Delivery Fee <br />Return Receipt Showing <br />to whom and Dale Delivered <br />Return Receipt Snowing to wh <br />Date. and Atldress of Deliv <br />~ <br />TOTAL Postage antl F S -/j ~( <br />(/ v <br />Postmark or Date •L <br />1i~Y9~ <br />... -'~d <br />'y <br />.~ <br />~~ <br />J <br />D <br />.~ <br />:r <br />')~ <br />,~ l <br />`- . <br />t~ <br />
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