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2013-04-01_PERMIT FILE - M2013018 (2)
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2013-04-01_PERMIT FILE - M2013018 (2)
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Entry Properties
Last modified
8/24/2016 5:18:57 PM
Creation date
4/2/2013 7:09:58 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2013018
IBM Index Class Name
PERMIT FILE
Doc Date
4/1/2013
Doc Name
110c Appl.
From
Pine Bluffs Gravel & Excavating, Inc
To
DRMS
Media Type
D
Archive
No
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SENDER: COMPLETE THIS SECTION <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 />if If <br />l 13 kk fl = 1'4C 1, l`.�. (,1) 1! <br />2. Article Number <br />(transfer from service label) 7008 2810 0001 0714 7695 <br />PS Form 3811, February 2004 <br />tr'i U 1 <br />rr Er <br />N <br />rR ri <br />N N <br />D <br />rl <br />D <br />D <br />D <br />D <br />rR <br />[1O <br />rU <br />D <br />D <br />N <br />U.S. Postal Service rr:, <br />CERTIFIED MAIL', RECEIPT <br />(Domestic Mail Only; No Insurance Coverage Provided) <br />PS Form 3600, August 2006 <br />See Reverse for instructions <br />For delivery information visit our website at www.usps.com,, <br />$ent ro <br />''+1 : iot i t i Il:l_i..11fZiSL <br />Sheet, Apt. No.; <br />or PO Sox No. 1 J J t <br />l'tl. G.IJ <br />Postmark <br />Here <br />Postage <br />Certified Fee <br />Return Receipt Fee <br />(Endorsement Required) <br />Restricted Delivery Fee <br />(Endorsement Required) <br />Total Postage & Fees <br />Domestic Return Receipt <br />COMPLETE THIS SECTION ON DELIVERY <br />B. Received by ( Printed Name) <br />A. Signature <br />X <br />D. Is delivery address different from item 1? I <br />If YES, enter delivery address below: <br />3. Servipe Type <br />edified Mail <br />❑ Registered <br />❑ Insured Mail <br />Q P (A <br />❑ Express Mail <br />❑ Retum Receipt fo <br />❑ C.O.D. <br />4. Restricted Delivery? (Extra Fee) <br />C. Da <br />1 <br />
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