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2009-02-03_REVISION - M2002111
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2009-02-03_REVISION - M2002111
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Entry Properties
Last modified
6/16/2021 2:10:22 PM
Creation date
11/13/2009 1:27:21 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2002111
IBM Index Class Name
REVISION
Doc Date
2/3/2009
Doc Name
Certified Return Receipt
From
Fruita Development LLC
To
DRMS
Type & Sequence
SO1
Email Name
MET
Media Type
D
Archive
No
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¦ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted 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 />1. Article Addressed to: <br />MR GRANT CUSHING <br />FRUITA DEVELOPMENT LLC <br />25 NORTH STREET <br />CANANDAI_JA, NY 14424 <br />A. Si ure <br />x ? Agent <br />? 13 AddreB. Received by Pdnfed Name) \ C. D f ell <br />G ?v' I_ z 6 <br />D. Is delivery address different fro Item 1 r Yes <br />If YES, enter delivery address below: ? No <br />s. bennce Type <br />? Certified mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />d_ RaMrjMt-4 r%.fl ..n i - - <br />"" • Li Tea <br />Z. Ankle Number <br />(Transfer from service labeq 7008 1140 0003 4437 <br />4 3 7 2783 <br />Ps Form 3811, February 2004 Domestic Return Receipt <br />102595-0244-1540 <br />?2? SSA <br />Zoaz-I ( I <br />M <br />Soo I <br />2?3?0?
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