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2009-11-24_REVISION - C1984067 (2)
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2009-11-24_REVISION - C1984067 (2)
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Entry Properties
Last modified
8/24/2016 3:57:13 PM
Creation date
11/24/2009 10:25:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1984067
IBM Index Class Name
REVISION
Doc Date
11/24/2009
Doc Name
Certified Mail Receipt (Termination of Jurisdiction)
To
Landowners
Type & Sequence
SL1
Email Name
TAK
Media Type
D
Archive
No
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• Complete items 1, 2, and 3. Also complete <br />Po stal <br />item 4 if Restricted Delivery is desired. <br />Ir- <br />• Print your name and address on the reverse <br />° <br />n , <br />( <br />or on the front if space permits. <br />CID <br />For delivery information visit our website at www.usps.come <br />D. Is delivery address different from item 17 ❑ Yes <br />Iv <br />If YES, enter deli ress below: ❑ No <br />- - -- <br />CO <br />Jonathan H. & Frances M. Perlman <br />106 Lower Creek Rd. <br />I ru <br />Postage: ` <br />$0.44 <br />° <br />° <br />ce Certified Fee: <br />r <br />$2,gp <br />° <br />° <br />Return Recei Fee: <br />Retum R P. t <br />(Endorsement <br />$2.30 <br />m <br />Restri D Total Postage & Fe��g <br />$5.54 <br />° <br />Total Postage & Fees $ <br />Ln <br />° <br />° <br />Sent? <br />Jonathan H. & Frances M. Perlman <br />or 0 106 Lower Creek Rd. <br />Stockton, NJ 08559 <br />, <br />• Complete items 1, 2, and 3. Also complete <br />A. Signat <br />item 4 if Restricted Delivery is desired. <br />X J gent <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />11111 Attach this card to the back of the mailpiece, <br />ssee <br />B. <br />B Received by (Printed Name) C. Date of Delivery <br />or on the front if space permits. <br />1. Article Addressed to: <br />D. Is delivery address different from item 17 ❑ Yes <br />If YES, enter deli ress below: ❑ No <br />- - -- <br />ON <br />Jonathan H. & Frances M. Perlman <br />106 Lower Creek Rd. <br />T <br />Stockton, NJ 08559 <br />' 3. � type <br />❑ Mail ❑Express Mail <br />13 R e ❑ Betu R pt for Merchandise <br />❑ Insu Ma' D. <br />4. Restricted De ) ❑ Yes <br />2. Article Number <br />( 7005 <br />tr from service labeq <br />0390 0002 828 9059 <br />PS Form 3811 February 2004 Domestic Return Receipt 102595 -02 -M -1540 <br />
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