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2010-04-26_PERMIT FILE - P2010006
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2010-04-26_PERMIT FILE - P2010006
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Entry Properties
Last modified
8/24/2016 4:08:45 PM
Creation date
4/28/2010 4:05:33 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
P2010006
IBM Index Class Name
PERMIT FILE
Doc Date
4/26/2010
Doc Name
New NOI Application Form 2
From
Savage Mining
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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..vun Day of Delivery Postage <br />wlr+ <br />/ i ? N '',] 2nd i7 9W Dd. Wy <br />Sch d Dille of DellvArv Return <br />,, .. <br />+ <br />( <br />4 Month.' ' Day-" $ <br />. <br />j <br />yea'r <br />D Scheduled Time orf.Delivery COD Fee Insurance Fee <br />Ccepied ? N <br />? <br />L-2 AM <br />' oon r <br />3 PM <br />r./. . <br />' Military Total Ppstaged rs <br />..- <br />? PM ? <br />'. <br />te or Weight ? 2nd Doy ? 3rd D, <br />f Int'I Alpha Country Code Accoptance Erri'd. Initials <br />lbs. ozs. <br />I: <br />PLEASE Pi <br />( <br />ll" PHONE <br /> <br /> <br /> <br /> <br /> <br /> <br /> u rm <br />Delivery Attempt Time AM Employee Signature <br />Mo. Da ? PM <br />Dolhrery Onto Time O AM Employee Signature <br />Mo. Da ? PM <br />CUSTOMER USE ONL Y <br />PAYMENT BY ACCOUNT WAVER OF SIGNATURE (Danestrc Matz OMy) <br />13 <br />Express Mail Corporate Acct. No. Addtdalal merdlanW9e IrMErraneo Is void N <br />cuetom•rrequests walverof Wipwh e. <br /> 1 wish delivery to be matte wdtqut obtaining e:gnature <br />Federal Agency Aect. No. or <br /> <br />Postal Service Acct. No. of addressee or addresses'$ agent Cd rdeivery emp?'oyaa <br />?adlar ankle can be left in securo M1ocetiarl arttil <br />t delivery amployea's signature constitutes <br /> valid ? <br />delivery. <br />u Womew nowlay U Mww Signature <br />F i ?tiN° { Sm. <br />TO. (PLEASE PRINT) PHONE 'V15 _ I ,f-fit y _ t - F. t l l( !K ?? , n "! y ? t <br />9.. <br />NfJ? {r?1 <br />YIP . 4 (U.S. ADD--SOE:-S -ONLY. DO NOT USE FOR FOREIGN POSTAL CODES.) <br />FOR INTERNATIONAL DESTINATIONS, WRITE COUNTRY NAME BELOW. <br />t <br />i
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