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2011-07-14_REVISION - C1980007 (6)
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2011-07-14_REVISION - C1980007 (6)
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Entry Properties
Last modified
8/24/2016 4:35:42 PM
Creation date
8/2/2011 1:36:57 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1980007
IBM Index Class Name
REVISION
Doc Date
7/14/2011
Doc Name
Certified Return Receipt (Inspection Notification)
From
DLH
To
DRMS
Type & Sequence
SL3
Email Name
TAK
Media Type
D
Archive
No
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COMPLETE THIS SECTION ON DELIVERY <br />SENDER: COMPLETE THIS SECTION <br />4. Restricted Delivery? (Extra Fee) <br />r. Agent <br />0 Addressee <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: <br />D L H 2001 Family Trust <br />44960 Highway 133 <br />Paonia, CO 81428 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, February 2004 <br />3. See Type <br />Certified Mail <br />0 Registered <br />0 Insured Mail <br />7009 2820 0003 5701 1384 <br />102595 -024-1540 , <br />Domestic Return Receipt <br />vi �• yes <br />D. Is delivery address different from item 1? C) No <br />If YES, enter delivery address below: i\ <br />Date of Delivery <br />0 Express Mail <br />0 Return Receipt for Merchandise <br />0 C.O.D. <br />
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