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2009-06-30_REVISION - C1980001 (2)
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2009-06-30_REVISION - C1980001 (2)
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Entry Properties
Last modified
8/24/2016 3:48:20 PM
Creation date
7/6/2009 10:49:51 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980001
IBM Index Class Name
REVISION
Doc Date
6/30/2009
Doc Name
Certified Return Receipt (Inspection Notification)
From
Landowners
To
DRMS
Type & Sequence
SL11
Email Name
JDM
Media Type
D
Archive
No
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¦ Complete items 1, 2, and 3. Also complete A. Signature <br />item 4 if Restricted Delivery is desired. X ? Agent <br />¦ Print your name and address on the reverse o-si ?zJ ? Addressee . <br />so that we can return the card to you. <br />¦ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C. Date of Delivery <br />,or on the front if space permits. <br /> <br /> <br />Article Addressed to: <br />1 D. Is delivery address different from item 1? ? Yes <br />. If YES, enter delivery address below: ? No <br />Phillip Morey Wisecup . <br />24120 County Rd. 25 <br /> 3. Service Type <br />P.O. Box 784 ? Certified Mail ? Express Mail <br />Oak Creek, Co 80467 ? Registered ? Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article 7 <br />(transfer from m service IabeQ 008 1140 0003 4437 1854 <br />Ps Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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