1977-12-21_PERMIT FILE - M1977493 ‎(2)‎

• Permit No: M1977493
• IBM Index Class Name: PERMIT FILE
• Doc Date: 12/21/1977
• Doc Name: Public Notice
• From: Climax
• To: MLRD
• Media Type: D
• Archive: No

u+ 0 SENDER: Complete items 1.2.and i. - v •" _ e—" . '
c Add your address in the "RETURN TO" space on o Add your address in the "hETURN TO" space on
e..• 9 , � reverse. 3
rcvenc-
I 1. Th following set is requested (check one). 1.^ ollowing service is requested (check one).
Show to whom and date delivered__....._.... 150 /Lt dhow to whom and date delivered------------ 15Ie
````����'' Show to whom, date, & address of delivery._ 35¢
Show to whom,date,& address of delivery_. 350
RESTRICTED DELIVERY. [] RESTRICTED DELIVERY.
Show to whom and date delivered............. 65�
Show to whom and date delivered------------- 65c
RESTRICTED DELIVERY. RESTRICTED DELIVERY.
Show to whom,date,and address of delivery 85c Show to whom,date,and address of deliiv^en-85c
2. ARTI E ADDRE 12 O: Z. ARTIC DIIRES'TrED
«! m 3. ARTICLE DESCRIPTION: m 3. ARTICLE DESCRIPTION: `
REGISTERED NO. CERTIFIED NO. INSURED NO. REGISTERED NO. CERTIFIED NO. INSURED NO.
V, (Always obtain signature of addressee or alrent) (Always obtain signature of addressee or agent)
m I have received the article described above.
In I have received the article described above. M
G SIGNATURE/ Address e m SIGNATURE ❑ Authorized agent
❑ ❑ Authorized agent p Addressee 1(�/
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M1_O • POSTMARK m A F DELIVERY S*ARK
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5. ADDRESS (Complete only if requested) r 4 C 5. ADDRESS (Complete only it requested)
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=t 6. UNABLE TO DELIVER BECAUSE: ^ CLERK'S rn 6. UNABLE TO DELIVER BECAUSE: CLERF
O _ INIzlAJ S G 1 NIT1ALS
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-s Op SENTDER: Complete iterm 1.2,and i, h
-+ our address in the RETURN TO" space on SENDER: Complete tram; 1,2,nth s.
Add "
o Y P o Add your address in the 'RET(TkP; TO- space on
3 reverx. reverse.
m 1. The following service is requested (check one). 1. The followii,F,, service is requested (check one).
Show to whom and date delivered------------ 150 s Show to whom and date delivered-----------_ 15e
Show to whom date,& address of delivery.. 3504 Show to whom, date,& address of delivery__ 35c
�] RESTRICTED DELIVERY. � RESTRICTED DELIVERY. {
Show to whom and date delivered_____________ 65� Show to whom and date delivered------------- 65� I'
RESTRICTED DELIVERY. ,� RESTRICTED DELIVERY. j
Show to whom, date,and address of delivery 854 Show to whom, date,and address of delivery 85(
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z 2. ARTI ADDRESSED `' 2. ARTI � ADDRESSED TO: I
fAl
n 3. ARTICLE DESCRIPTION: 1 $. ARTICLE DESCRIPTION:
REGISTERED NO. CERRTTI/FIED NO` INSURED NO. I REGISTERED NO. CERTIFIED NO. INSURED NO.
(Always obtain signature of addresser or agent)
FP (Atways obtain signature of addressee or agent)
m I have received the article described above. In I have received the article described above.
en SIGNATURE
D [-] Addressee ❑ Authorized agent • v SIGNATURE. ❑ Addressee ❑ Authorized agent
m DATE or D WERY ? { POSTMARK t z �Q}tTE OF DELIVERY POSTMARK
> Est ` i- , ( X; G _ / -
G 5. ADDRESS (Complete only if requested) `', 5. ADDRESS (Compiete only it requested) E
m in
T =
6. UNABLE TO DELIVER BECAUSE- CLERK'S I r+ 6. UNABLE TO DELIVER BECAUSE: !! 'CLERK'S
D INITIALS O I INITIALS
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