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2011-03-14_REVISION - M1977493 (53)
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2011-03-14_REVISION - M1977493 (53)
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Last modified
6/15/2021 5:47:17 PM
Creation date
4/6/2011 8:41:06 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977493
IBM Index Class Name
REVISION
Doc Date
3/14/2011
Doc Name
Exhibit List, Ex. 1-5
From
Climax
To
MLRB
Type & Sequence
AM6
Media Type
D
Archive
No
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CM0000429 <br />• <br />A. Signature <br />C ? Agent <br />? Addressee <br />B. i t e) C. Date of DeliveryD. Is delivery address d niffm.&item 1 i?'Q Yes <br />If YES, enter deliverydd s below--r),'CJ;No <br />p 0 $0 Service Type ; • " <br />.2-0 ?_ eCLitC.!}?,k+ A()e (oy (Certified Mail ? Express Mall <br />k?R6'?k.?N?lDbF? CO ??a(f Registered O(Retum Receipt for Merchandise <br />r ? Insured Mall ? C.O.D. <br />4, Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7006 0100 0007 1940 8335 <br />(Transfer Irom service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 <br />?i <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: A <br />,r yt. <br />It h Al <br />Sumt?? r eownlTy' ?o,??e"nr <br />Cem/k f SS?'an/,eRS <br />0 <br /> <br />0
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