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2008-10-02_GENERAL DOCUMENTS - C1981015
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2008-10-02_GENERAL DOCUMENTS - C1981015
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Entry Properties
Last modified
8/24/2016 3:36:48 PM
Creation date
10/20/2008 2:26:16 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981015
IBM Index Class Name
GENERAL DOCUMENTS
Doc Date
10/2/2008
Doc Name
Certified Card for Notification of Reclamation to be Done
From
Landowner
To
DRMS
Permit Index Doc Type
Reclamation Projects
Email Name
DTM
Media Type
D
Archive
No
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L-q )-C) 5 <br />¦ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricte?ery is desired. <br />¦ Print your nanvMdaddress on the reverse <br />so that we can return the card to you. <br />9 Attach this card to the back of the mailpiece, <br />,or on the front if space permits. <br />1. Article Addressed to: <br />13 ?s lnJ?l(: ?? f6--4/Ave Al <br />A. Sign re <br />X -TTAgent <br />? Addressee <br />B. Received by (Printed Name) C. Date of Delive <br />1084?I7e Len/ -10 , 2- <br />7 <br />D. D. Is delivery address different from item 1? ? Yes <br />If YES, enter delivery address below: ? No <br />3.- S€rvice lype - -_ _ _= - <br />X Certified Mail O Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7008 0150 0000 9296 0645 <br />(transfer from setWce labeon <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ; <br />To o. :3-a 4 4, <br />L a,,,/o '/Va 6C <br />A19 (4 S Q <br />04? <br />
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