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2011-06-06_REVISION - M1981185 (62)
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2011-06-06_REVISION - M1981185 (62)
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Entry Properties
Last modified
6/15/2021 5:58:14 PM
Creation date
6/7/2011 8:30:28 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981185
IBM Index Class Name
REVISION
Doc Date
6/6/2011
Doc Name
Response to CN-01 3rd addequacy issues for 112d-1 application part 1 attachment A thru D
From
R Squared Inc.
To
DRMS
Type & Sequence
CN1
Email Name
WHE
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTIOJV COMPLETE THIS SECTION ON DELIVERY <br />A Complete Items 1, 2, and 3 Also Complete <br />l <br />s <br />d <br />c <br />D <br />I A. Signature <br />Agent ; <br />iveiy <br />i <br />dewe <br />- <br />it 4 if Restri <br />ted <br />e X <br />¦ Print your name and address on the reverse tr ': ? Addressee ) <br />so that we can return the card to you. <br />§ - <br />red by (Printed Name) <br />y <br />C "€s?Delivery <br />¦ Attach this card to thelback of the mailpiece, ?G*"_' Oc S <br />or on the front if space permits. <br /> D. Is delivery address different fro 1? ? Ye 1 to - <br />1. Article Addressed to: If YES, enter delivery address e i <br />111 <br />? ? <br /> 1 ?? ?? <br />p?0 ! <br />' ASPS 9Q? <br /> y i <br />kabo <br />H <br />l <br />y <br />uc <br />e <br />Doy <br />P.O. Box 36 <br />Louisville. Colorado 80027 3. ervice Type <br />Certified Mail ? Express Mail <br /> ? Registered ? Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7010 <br />I 1670 0002 1752 0502 <br />(Transfer from service labeQ ? ? j <br />PS' Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 <br /> <br />SENDER: • <br />¦ Complete items 1, 2, and 3. Also complete A ig ature <br />.Item 4 if Restricted Delivery is desired. )EIhAgent <br />¦ Print your name and address on the reverse ? Addressee <br />so that we can return the card to you. B/ Received by (Printed Narfijif C. Date of Delivery <br />¦ Attach this card to the back of the mailpiece, <br /> <br />or on the front if space permits. 1 <br />1 . Artic:e ressed to: <br />Ati D ss diff ent from item 1? ? Yes <br /> <br />? N <br />o <br />/? ; e ry ad ss below: <br />? art <br />k L G fGaX <br />L <br />, <br />-t i <br />T?0- PD/_ 2-7-50 <br />S <br />Ot It <br /> <br /> <br />?? c:)( D e ' <br />ail ? xpress Mail <br />i ? Registered ? Return Receipt for Merchandise <br /> ? Insured Mail ? C.O.D. <br />l 4; Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 1 - 7 010 167 0 0002 17 5 2 0 4 8 9 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Pp- 102595-02-M-1540 <br />SENDER: • <br /> <br />• <br />EC 7-1 <br />,, <br />SECTION . DELIVERY <br />¦ Complete items 1, 2, and 3. Also comtlete A. Signature' - <br />item 4 if Restricted Delivery is desired. <br />I ¦ Print your name and <br />ddr <br />n th <br />re gent <br />lZk <br />X <br />' ' <br />f <br />ess o <br />e <br />verse <br />a f f <br />t <br />E <br />l Addressee <br />so that we can return:the card to you. <br /> <br />¦ Attach this card to the back of the mailpiece, B. Received <br />t2.y I P Name) yc.Date <br />of!Delivery <br />>> <br />r <br />or on the front if space permits. ? <br />1(sf <br />? <br /> <br />1. Article Addressed to: D. Is delive_ry:address d <br />ifferent from item 17 ? Yes <br /> If YES, enter delivery address below: ? No <br />David N. Kingsley, M.D. <br />3350 E. 41h Ave j <br />Duranao. CO 81301 3. Service Type <br />I <br /> 13 <br />Certified Mail ? Express Main <br />i <br /> Registered ? Return Receipt for Merchandise <br />i <br /> Insured Mail ? C.O.D. <br />11 <br /> 4. Restricted Delivery? (Extra Fee) ? Yes <br />2. Article Number 7 010 <br />(Transfer from service Yabel) 1670 0002 1752 03n <br /> <br />s <br />PS Form 3811 Fehnjary?2004 Dc N=turn " <br />y <br />y <br />"2595 02 M j 40 _ <br />? <br />?{: r ? <br />( <br />L
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