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2009-07-14_REVISION - M2007003 (6)
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2009-07-14_REVISION - M2007003 (6)
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Last modified
6/16/2021 2:10:24 PM
Creation date
8/24/2010 8:07:52 AM
Metadata
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Template:
DRMS Permit Index
Permit No
M2007003
IBM Index Class Name
REVISION
Doc Date
7/14/2009
Doc Name
Cert. Green Card
From
DRMS
To
Mr. Jack Beedle
Type & Sequence
SO1
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. Jack Beedle <br />P.O. Box 128 <br />Yoder, CO 80864 <br />A <br />? Agent <br />_ ?y? n:Soar. / ame) I C. Date f Delivery <br />D. Is delivery address differem from item 1? 11 Ye s <br />If YES, enter delivery address below: ? No <br />3. Service Type <br />O Certified Mail ? Express Mail <br />? Registered ? Return Receipt for Merchandise <br />? Insured Mail ? C.O.D. <br />4. Restricted Delivery? (Extra Fee) C3 Yes <br />2. Article Number 7008 1140 0003 4437 2370 <br />(Transfer from service label) <br />ws Form 3811, February 2004 Domestic Retum Receipt <br />_ *2595-02•M-i5A0 <br />1'116] bmk1 aJ W <br />0
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