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2009-01-13_PERMIT FILE - M2009004
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2009-01-13_PERMIT FILE - M2009004
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Entry Properties
Last modified
8/24/2016 3:39:53 PM
Creation date
1/13/2009 12:25:52 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2009004
IBM Index Class Name
PERMIT FILE
Doc Date
1/13/2009
Doc Name
New 110c Application
From
Rocky Mountain Materials & Asphalt, Inc.
To
DRMS
Media Type
D
Archive
No
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Complete items. 1, 2, and 3. Also complete <br />item,41Restricted Delivery is desired. <br />Print your name and address on the reverse <br />so that we can return the card to you. <br />Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />Article Addressed to: <br />)SS L, rnikd Viirtyl <br />S . ?j (GI I I (?P , L . Jl? 51 Dt? <br />3 05 <br />o,- An G eI Lam, CA ?????? <br />A. Signature <br />?- ? Agent <br />X Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />?«??? ?cbfor?h /A? '/C <br />D. Is delivery address different from item 1? 0 Ye: <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />rJ6 Certified 0'1 ? F:tpress Mall <br />¦ . Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />a ¦ Print your name and address on.the reverse <br />so that we can return the card to you. <br />¦ Attach this cans to the back of the mailpiece, <br />or on the front If space permits. <br />1. Article Addressed to: <br />-7 ?-JoLA?-ed YcArMIC41 r3 <br />t <br />6o)( (0 <br />• C ? l o?i ? v ?p r i h-G? ? , C ? 60031 <br />A. Signature X Agent <br />? ddress <br />B. Received by (Printed Name) C. Pate of Delive <br />K, Kph ne r?? /-a -o? <br />D. Is delivery address different from item 1? ? Yes <br />It YES, enter delivery address below: ? No <br />3. Service Type <br />i 14. Certified Mail ? Express Mail <br />? Registered `? Return Receipt for Merchandise ? Registered ;ij-Retum Receipt for Merchandi <br />? Insured Mail ? C.O.D. ? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes 4. Restricted Delivery? (Extra Fee) ? Yes <br />:. Article Number, 0 3110 000 3 48 60 2929 2. (sferu 9 <br />(Tiansferfrom service label) 7005 (iaTnn 7005 3110 0003 4860 2905 <br />'S Form 3811, February 2004 Domestic Return Receipt io259s-o2-wimo is PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-n <br />sign ,fore <br />I Complete items 1, 2, and,3. Also complete A V nature ¦ Complete items 1, 2, and $. Also complete A. <br />item 4 if Restricted Delivery is desired. '? ent item 4 if Restricted Delivery is desired. ? Agent <br />Addressee <br />I Print your name and address on the reverse ¦ Print your name and address on the reverse Address <br />'- • • _ <br />so that we can return the card to you. eceived by (Pri led Name} C. I' 17 . so that we can return the card to you. B, eived by Printed N e) C. D of el. e <br />I Attach this card to the back of the mailpiece, /, ?u ( ¦ Attach this card to the back of the mailpiece, 4 ? < <br />or on the front if space permits. f?` or on the .front if space permits. JA % -6Y <br />D. Is delivery address different from item 1 Yes D. Is delivery add d' from m i-7 ? Yes <br />Article Addressed to: if YES, enter delivery address below: Arl No 1. Article Addressed to: If YES, enter delivery address low: CLlo <br />,40wh i?r?per rLL C' <br />?cinde/il h q???il <br />S rrto 50hrl ii <br />4050 5 us.?5??7 <br />O I X I u 3. Service Type 1 y? boo 3. rvice Type <br />1 f1 '^ C*Certified Mail ? Express Mail D I or /' 11 Certified Mail ? Express Mail <br />C O I D r G1 OC> Sp r(r' `) ' CO V b C L 1? ((? ? Registered Retum Receipt for Merchandise Co?` Registered Retum Receipt for Merchandi <br />J ? Insured Mail ? C.O.D. ? Insured Mail C.O.D. <br />4. Restricted Delivery? (Extra Fee) ? Yes 4. Restricted Delivery? (Extra Fee) ? Yes <br />Article Number 7005 3110 0003 4860 2851 2. Article Number 7005 3110 0003 4860 2 813 <br />(Transfer from service label) (Transfer from service label) <br />'S Form 3811, February 2004 Domestic Return Receipt fozsss-m-wlsto PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1 <br />•
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