HomeMy WebLinkAboutPermit Correspondence 1995-11-1
i ~~~;:e~~ms 1 an~or 2 for additional services.
C;; _ Complete items 3, 4a. and 4b.
Q) _ Print your name and address on the reverse of this form so that we can return this
; card to you.
> -Attach this form to the front of the maHpiece, or on the back if space does nol
! permit.
Q) -Write"Retum Receipt Requested" on the mail piece below the article number.
-= -The Return Receipt wilt show to whom the article was delivered and the date
c delivered.
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14a. Article N Jmber ~
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4b. Service Type 'i
o Registered )(Certified ';
'~:.' 0 Express Mail 0 Insured -=
o Return Receipt for Merchandise 0 COD :
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'7. Date of Delivery -
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18. Addressee's Address (Only II requested ~
and lee is paid) ~
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!!l PS Form 3811, Decembef1994
3. Article Addressed to:
En' c.. La-li mU
'P.o, 'Box (pl/O
PIRt/5Cln+ f61~ OR q7455
5. Received By: (Prin/Name)
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'i(i:4g 7 N 'A" ST. ~
BUILDING
I also wish to receive the
following services (for an
extra fee): al
1. 0 Addressee's Address ~
2. 0 Restricted Delivery Jl
Consult postmaster for fee.
Domestic Return Receipt
First-Class Mail
2Ll ~ Postage'&'FeesPa'd
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~~ p ~ -~) uc~ ;~.,,~ _ Permit ~o. G.l0 . .
. Print your name~~d9~~~' ~9tl ZIP Coiein~l1Pif~21\."'li~, 'ii,'.: .
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UNITED STATES POSTAL SERVICE
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DEVELOPMENT S;~'~IC~S(f
225 FIFTH STREET
SPRINGFIELD, OR 97477
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