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2011-12-30_REVISION - M1976009HR
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2011-12-30_REVISION - M1976009HR
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Entry Properties
Last modified
6/15/2021 5:44:23 PM
Creation date
1/4/2012 7:00:39 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976009HR
IBM Index Class Name
REVISION
Doc Date
12/30/2011
Doc Name
Proof of Publication
From
Mark A. Heifner
To
DRMS
Type & Sequence
AM4
Email Name
BMK
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION <br />COMPLETE THIS SECTION ON DELIVERY <br />• by (Printed Nerve) <br />C. a <br />L O <br />D. Is delivery address different from Item 1? 0 Yes <br />It YES, enter delivery address bebw: 0 No <br />a Service type <br />E Cettl led Mali <br />0 Insured Mali <br />El Empress Mall <br />o Return Receipt for Merchandise <br />o C.O.D. <br />4. Restricted Deliveryl Fee) <br />❑ Yes <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 mallplec e, <br />or on the front if space permits. <br />1. Article Addressed to: <br />us <br />' ywcr .r,. r7 <br />/ 900 F t5rt NW Prr, $,2 I <br />.1 ocao <br />2. Article Number <br />(Transfer from service /abed <br />PS Form 3811, February 2004 Domestic Return Receipt <br />A. <br />x <br />7011 1570 0000 3464 5471 <br />U.S. Postal ServiceTM <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com, <br />43rl• 1 P L USE <br />Postage <br />Certified Fee <br />Retum Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage 8 Fees <br />11 <br />0 Apertt <br />❑ Addressee <br />102595-024A-1540 <br />1. Article Addressed to <br />2. Article Number <br />(rlarrsfer from service rebeg <br />U.S. Postal Service. <br />CERTIFIED MAILTM RECEIPT <br />(Domestic Mail Only; No insurance Coverage Provided) <br />For delivery information visit our website at www.usps.com <br />WON <br />till <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Foe <br />(Endorsement Required) <br />Total Postage at Fees <br />Gla 4r► 5r/C 1 410i n <br />t yt 4;4 fth - PC <br />"Fc I43 L. USE <br />$ <br />50.44 <br />$2.3 <br />$0 .0�J <br />59 `. <br />0179 <br />08 <br />Postmark <br />o Here <br />iQ <br />11 .,/2011 <br />0 <br />sent To r r <br />or PO &u No. / E C' 1-1t ! <br />State. 21 -� C <br />PS Form 3800, Au 2006 <br />See Reverse for Instructions <br />PS Forth 3811, February 2004 Domestic Return Receipt <br />of <br />$ $0.44, <br />Nil 0 31100 11 010 i'S531100♦ Nb0.3b 3N1 dO <br />518 3k1 Ol 3dOl3AN3 JO d01 ♦Y s3b0u5 30r11d <br />SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br />• Complete Items 1, 2, and 3. Also complete <br />Item 4 N 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 mafplece, <br />or on the front if space permits. <br />TYPe <br />Certified Men 0 Express Mar <br />RugleEersd 0 Return Receipt forMeicrerdlee <br />0 Insured Mall 0 C.O.D. <br />7011 1570 0000 3464 5488 <br />11123.5.021540 <br />
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