2009-07-13_PERMIT FILE - M2009054 ‎(4)‎

• Permit No: M2009054
• IBM Index Class Name: PERMIT FILE
• Doc Date: 7/13/2009
• Doc Name: New 112c Application
• From: All-Rite Paving & Redi-Mix, Inc.
• To: DRMS
• Media Type: D
• Archive: No

m Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print your name and address on the rev- e
so that we can return the card to you.
¦ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
tvi's Aft.
f Jpn?t? c-o
- Agent
? ? Addressee i
B. Received by Print- ame) C.'Date of Delivery
171
D. Is delivery address different from item 1? 1:1 Yes
If YES, enter delivery address below: ? No
I
I
i
3. Service Type
ACertified Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail C-1 C.O.D. I
4. Restricted Delivery? (Extra Fee) p Yes
2. Article Number 7009 0080 0000 6623.6500 }? t
(Transfer from service label) - -- - - - ' " _
- _ T
PS Form 3811-, February 2004 Domestic Return Receipt 102595-02-M-1540
i
¦ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
¦ Print-your name and-address on the reverse
I' so that we can return the card to you.
M Attach this card to the back of the mailpiece,
1 or on the front if space permits.
1. Article Addressed to:
A ?Vgj' j 01rp'O -TT Ph 6.P
i.
;;;70()j7f 10 ST
f CO
'(A
J
2.. Article Number 7009 0080 0000 6623`65
(Tiansferfrom service label) 1t7
PS Form 3811, February 2004 Domestic Return Receipt

? Agent
? Addressee
B. Received by (Printed Name) C. D e Delive
D. Is delivery address different from item 1? es
If YES, enter delivery address below: ? No
3. Service Type
%Cert led Mail ? Express Mail }
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes i
102595-02-M-154,9,