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2011-06-27_REVISION - C1994082 (2)
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2011-06-27_REVISION - C1994082 (2)
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Entry Properties
Last modified
8/24/2016 4:34:55 PM
Creation date
7/6/2011 7:41:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
REVISION
Doc Date
6/27/2011
Doc Name
Certified Return Receipt (Inspection Notification)
From
Landowners
To
DRMS
Type & Sequence
SL3
Email Name
SLB
SB1
Media Type
D
Archive
No
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d • 3. Article Addressed to: <br />-o <br />• <br />V <br />SENDER: <br />■ Complete items 1 and/or 2 for additional services. <br />• Complete items 3, 4a, and 4b. <br />■ Print your name and address on the reverse of this form so that we can return this <br />card to you. <br />• Attach this form to the front of the mailpiece, or on the back if space does not <br />permit. <br />■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />• The Return Receipt will show to whom the article was delivered and the date <br />delivered. <br />PS Form 3811, December <br />ent) <br />2 <br />j e Creek Holdings, LLCM <br />a <br />1 Market St. Ste 801 <br />W ; St. Louis, MO 63101 <br />cc <br />cc <br />5. Recei By: (Pri t Name) <br />W <br />S <br />5 6. Signature: (Ad/ . - ee or <br />X <br />N <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1. ❑ Addressee's Address <br />U <br />2. ❑ Restricted Delivery N <br />Consult postmaster for fee. o- <br />7008 3230 0002 7252 5509 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Return Receipt for Merchandise ❑ COD <br />7. Date of Deliv <br />Z 7 <br />B. Addresse Addr ss (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />C Racy Z <br />SLPD <br />5� 3 <br />
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