HomeMy WebLinkAboutPermit Miscellaneous 2005-6-2
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SENDER:
I also wish to receive the follow-
ing services (for an extra fee):
o Complete items 1 and/or 2 for additional services.
Complete ilerns 3, 4a, and 4b,
o Print your name and address on tile reverse of this form so that we can reI urn ttlis
card to you: ' , ..
o Attach thls form \0 the front of the mail piece, or on the back if space does nol
per/Tlli.
o Write "Re/urn Receipt Requested" on the mail piece below tile article number,
o The Return Receipt will show to whom tt-- ,~,,'- ...., --"....," .__ 'c, "."
delivered, 7 0 0 1 19 4 0 0 0 0 2 2 0 :3 6 8 5 9 5
3, Article Addressed to: 1"70 'oIl' 9~4'(rO 0 02 203 6 8 5 9 5
Jeffrey and Tamera Berg 4b, Service Type
1917 J Street D Registered
Spr ingf ie1d f Oregon 974770 Express Mail
D Return Receipt (or Merchandise D COD
1, fkAddressee's Address
2,.0 Restricted Delivery
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RE:
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7, Date of De~ver~ Z ' /'
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8, Adclressee's ~,ddress (Only if requested and
fee is paid)
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102595,99,B,O;:23 , Dor;nf'st.i~ ~~turn Receipt
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