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PERMFILE113336
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PERMFILE113336
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Entry Properties
Last modified
8/24/2016 10:09:30 PM
Creation date
11/24/2007 10:27:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004009
IBM Index Class Name
Permit File
Doc Date
4/29/2004
Doc Name
Proof of Mailing
From
WSI
To
DMG
Media Type
D
Archive
No
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^ Complete items 1, 2, and 3. Also complete A. Signature <br />~, item 4 if Restricted Delivery is desiretl. / ~; , ! ^ agent <br />~~`print your name and address on the reverse X " ~ ~ "~ "~- , J)L%- ~ Adds <br />5o that we Can re[um the card f0 you. B. Received b~(Pnnted Name) ~ C. Dy¢t f D i <br />^ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Artlde Addressed to: <br />TROY & JUDY HEFNER <br />370 WELD CO RD 16 1/2 <br />LONGMONT, CO 80504 <br />D. Is delivery atltlress different from item 17 Yes <br />If YES, enter delivery adtlress below: ^ No <br />3. Service Type <br />Certified Maif ^ Express Mail <br />^ Registered ^ Return Receipt for Merohandise <br />^ Insured Mail ^ C.O.D. <br />4. Restricted Delivery? (EMra Fee) ~ yey <br />2. Article Number 7002 x860 0003 4827 6205 <br />(trans/er /rom service label) <br />~~ <br />PS Form 3811, August 2001 Domestic Return Receipt to25ss-0z-M-tsao <br />^ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is tlesired. <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 Addessetl to <br />A <br />^ Agent <br />8. Received by (Printed Name) ~ C. Date of Delivery <br />D. Is delivery address different from item t? ^ Yes <br />If YES, enter delivery adtlress below: ^ No <br />VERNON L & SUSAN BAUER J <br />389 HWY 52 <br />ERIE <br />CO 80516 <br />, <br /> 3. Service Type <br /> ~` Certified Mail <br />b ~ ^ Express Mail <br /> Reg'~stered ^ Retum Receipt to Merchandise <br /> ^ Insured Mail ^ C.O.D. <br /> 4. Restricted Delivery? (Extra Fee) ^ Yes <br />2. Article Number <br />(rrans(er hom service label) 702 X860 ~O()3 4827 8582 <br />PS Forth 3811, August 2001 Domestic Return Receipt tozsssaz-st•tsa <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 cartl 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 />DENNIS AND WENDY <br />TIMMRECK <br />649 HWY 52 <br />ERIE CO 80516 <br />A <br />0. Receivetl by (Printed Name) <br />f~ Agem <br />I J -`(' <br />D. Is delivery address different from item 17 ^ Yes <br />If VES, enter delivery address below: ^ No <br />3. Service Type <br />~QertiFled Mail ^ Express Mail <br />^ Registeetl ^ Return Receipt for Merchandise <br />^ Insured Mail ^ C.O.D. <br />a. Restricted Delivery? (Extra Fee) ^ yes <br />.'~/-~vo ~/-oay <br />~~ <br />z9-4S< <br />~~~~r <br />~Orf L~M~ <br />z' ARiCleNUmber 7002 0860 ()003 4827 6224 <br />(rransler rrom service labep <br />PS Form 3811, August 2001 Domestic Return Receipt toz595-02-rt-tsg0 <br />
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