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2011-07-08_REVISION - C1994082
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2011-07-08_REVISION - C1994082
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Entry Properties
Last modified
8/24/2016 4:35:29 PM
Creation date
7/14/2011 1:39:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1994082
IBM Index Class Name
REVISION
Doc Date
7/8/2011
Doc Name
Certified Return Receipt (Inspection Notification)
From
Carl D. & Donna Anderson
To
DRMS
Type & Sequence
SL3
Email Name
SLB
SB1
Media Type
D
Archive
No
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SENDER: <br />o •Complete items 1 and/or 2 for additional services. <br />• <br />m II Complete items 3, 4a, and 4b. <br />• ■ Print your name and address on the reverse of this form so that we can retum this <br />card to you. <br />■ Attach this form to the front of the mailpiece, or on the back if space does not <br />d permit. <br />w ■ Write'Retum Receipt Requested' on the mailpiece below the article number. <br />. <br />•The Retum Receipt will show to whom the article was delivered and the date <br />c delivered. <br />0 <br />d 3. Article Addressed to. <br />d <br />Carl D. & Donna Anderson <br />cl P. O. Box 3397 <br />Montrose, CO 81402 -3397 <br />z <br />cc <br />w <br />1 <br />5. Received By: (Print N cAh V) <br />T , <br />6. Signal e: (Add oaAge t) <br />X r � <br />nK, <br />• PS Form 3811, December 1994 <br />7008 3230 0002 7252 <br />7. Dat of Delivery <br />C-ACW-M2 <br />- afA30e4wn <br />I also wish to receive the <br />following services (for an <br />extra fee): <br />1 Addressee's Address <br />❑ Restricted Delivery m <br />Consult postmaster for fee. °4 <br />5127 <br />4b. Service Type <br />❑ Registered ❑ Certified <br />❑ Express Mail ❑ Insured <br />❑ Retum Receipt for Merchandise ❑ COD <br />8. Addressee's Address (Only if requested <br />and fee is paid) <br />Domestic Return Receipt <br />
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