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2010-05-03_REVISION - M1979181 (9)
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2010-05-03_REVISION - M1979181 (9)
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Entry Properties
Last modified
6/15/2021 2:22:43 PM
Creation date
5/4/2010 8:23:46 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979181
IBM Index Class Name
REVISION
Doc Date
5/3/2010
Doc Name
Revised pages for AM-01
From
Karmen King
To
DRMS
Type & Sequence
AM1
Email Name
RCO
Media Type
D
Archive
No
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05/03/10 MON 14:08 FAX 970 565 2622 PIONEER PRINTING <br />§ Complete items 9, 2, and S. Also complete <br />atom 4 if Restricted Delivery is desired. <br />0 print your name and address on the reverse <br />so that we can return the card to you. <br />K Attach this card to the back of the mailpieoe, <br />or on the front if space permits. <br />t'. Article Addressed to, <br />L70L"'i, C 1 ems' <br />C3v'-C' C <br />A. Slgrlatllll,+:hy <br />S_ Fjoceivad b)t(Pf tinted Name) C. Data of Delivery <br />rft.4 .. 300.tc <br />D. Is deliveryaddress drfferent fiom Item - ? Q Yes "'? <br />If YES, enter delivery address below: 0 No <br />"Ns <br />S. S. caeType <br />c{l 1 r i CerhFed Mali Q Express Mail <br />`-I Q Registered 0 Ratum Receipt for Merchandise <br />Q Insured Mail Q QO.D. <br />4. Restricted Oalivery2 (xfra Fee) Q Yes <br />Article: Number 70119 34111 0002 0966 .5 4 0 0 <br />{Transfer from servfw label) <br />PS Form 3$11, February 2004 Domestic Return Receipt 10?595.42•M•1e4o <br />.0. 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 />s0 that we can return the card to you, <br />w Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I.. Article Addressed to: <br />j'C Lill& <br />A_ signature <br />cl-?Ilt.. <br />13. Received by (P rrte Name) C. Date of DafiveiY <br />P. Is delivery address differentfrorn item t7 Q a <br />ifYES, enter dolivery address bekw- <br />St. <br />3. Service Type <br />Q sass Mail <br />0 tt#ied Mal ?rP <br />gistered- Cl ReturnReceipt for Merchandise <br />ON -T ured Mali ©C.4.D. <br />i L4Re's?- <br />cted DetiverY? (8= fee) Q Yes <br />2. Alxicle.146mber 7009 3410 0002 0966 538? <br />(Transfer fmm sw vkce 18be4 --. -- - t ozsas ax•t4•t sea <br />PS Forth $a1 j . Febmary 2004 Domestic Retum Receipt <br />..A ':Complete items 1, 2..dnd S. Aiso complete <br />itert 4 if Restricted jelivery is desired- <br />v . grin your name and address an the reverse <br />so that we can return the card to you, <br />e' Attach this card to, the back of the maiipieee, <br />or on the front if space permits. <br />1.. Article Addressed to: <br />?a a ?6? ?Y • P. C. (z, ( 5r- t 4 <br />Vv?ovti?' Co <br /> <br />Q Agent <br />B. , lved by (}"fnted N e) - yatef Delivery <br />D. Is delivery adds kS differentfram item l? Dyes <br />If YES, enter delivery address belay Q No <br />$, a Type <br />Certified mail a Express Mail <br />l ? Registered Q Rettfm Receipt for Marchdndse <br />` Q Insured Mal Cl C.O.D. <br />e/ ti 4 M - LA 1 L) 4-A 4. Restricted Delivery? Fa: Fee} 0 Yes <br />.._........ .......... <br />100()3
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