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2012-03-05_PERMIT FILE - M2011033 (2)
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2012-03-05_PERMIT FILE - M2011033 (2)
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Last modified
8/24/2016 4:54:39 PM
Creation date
5/3/2012 4:01:19 PM
Metadata
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Template:
DRMS Permit Index
Permit No
M2011033
IBM Index Class Name
PERMIT FILE
Doc Date
3/5/2012
Doc Name
PERMIT
From
HARRY CORKLE CONSTRUCTION
To
DRMS
Email Name
PSH
Media Type
D
Archive
No
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• 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 />Mr. Harry Corkle <br />Harry Corkle Construction <br />P.O. Box 306 <br />Walden, CO 80480 <br />2. Article Number <br />(transfer from service labe <br />PS Form 3811, February 2004 <br />,✓t_ a vet -o33 <br />S +4 <br />A. Signature <br />X /LZ l� �� Adc <br />B. ceived by ( N <br />� c , <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />Cant <br />Delivery <br />3. Service 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 />7009 2820 0003 5701 3654 <br />Domestic Return Receipt <br />102595 -02 -M -1540 <br />
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