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2009-11-24_REVISION - C1984067
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2009-11-24_REVISION - C1984067
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Entry Properties
Last modified
8/24/2016 3:57:13 PM
Creation date
11/24/2009 10:07:47 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
REVISION
Doc Date
11/24/2009
Doc Name
Certified Return Receipt (Termination of Jurisdiction)
To
Landowners
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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Po stal <br />CERTIFIED MAIL,. RECEIPT <br />co <br />( r-=I For delivery information visit our website at www.usps.como <br />C <br />ru OFFICIAL U= <br />Co <br />ru Postage: $0.44 <br />E3 Certified Fee: $2.80 <br />E3 Re Return Receipt Fee: $2i�30 <br />(Endon <br />M (End Total Postage &Fees: /$5154 <br />Ln <br />u7 Total Postage & Fees I $ <br />_ . <br />Y Mitchell Blair & Young ------------------------------- <br />3703 Westminster <br />Monroe, LA 71201 <br />.J <br />• 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 />! Mitchell Blair & Young <br />3703 Westminster <br />Monroe, LA 71201 <br />A Signature <br />X- ❑Agent <br />❑ Addressee <br />B. Received by (Print d Name) .pal;p,of Delivery <br />D. Is delivery +ress differen m it 1? <br />If YES, enter delivery ad ress b 1 ❑ N <br />(P <br />3. Service Type <br />03 <br />❑ certified Mail ❑ Express <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />❑ Yes <br />2. Article Number • <br />(fransfer from service label) 7005 0390 0002 8281 8496 <br />Ps Form 3511, February 2004 Domestic Return Receipt 102595- 02- M-1540 <br />
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