2013-06-17_PERMIT FILE - M2013018

• Permit No: M2013018
• IBM Index Class Name: PERMIT FILE
• Doc Date: 6/17/2013
• Doc Name: COMPLETE & UPDATED 11c PERMIT APPLICATION PACKAGE
• From: OPERATOR
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

• Complete items 1, 2, and 3. Also compiete
item 4 N Restricted Delivery is desired. '
• Print your name and address on the reverse
so that we can return the card to you.
• Attach this card to the back of the mailpiece,
or on the front N space permits.
1. Article Addressed to:
�uaa N - 1-7 0 u1u -�
Xt ❑ Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
from item 1? ❑ Yes
It YES, enter delivery address below: ❑ No
Gr,��1� C� g0b3I 3. Type
i �E�� e�rtified Mail ❑ Express Mal
❑ Registered ❑ Return Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Dellvery't (Extra Fee) ❑ Yes
2. Article Number 7008 2 810 0001 0714 7688
(fmrrsrer from service &W
Ps Form 381.1, February 2004 Domestic Return Receipt 102595-02 -M -1540