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4917 S 3RD AVE 2016-01-01 MF Import
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4917 S 3RD AVE 2016-01-01 MF Import
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Last modified
5/8/2017 11:59:11 AM
Creation date
3/8/2017 1:12:40 AM
Metadata
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Template:
Address Document
Street Name
S 3RD AVE
Street Number
4917
Imported From Microfiche
Yes
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• •�e��nra: � ,�„i�i�� ����.,�� i .,,a �. <br />A�i f yuur adJrcr� In J¢ "0.En1RN 70' .pea o0 <br />rn r <br />1. Thr follnwirg srrvire is requcsted (e6rck nn�� �. <br />� 3Loa tn whcm ond date dclircmd............ 15f <br />� Show to whom. data .0 addmse of Jrlierrv.. 3 i� <br />� DEI.I\'Iiit UNLI' 7'O, ADDRESSHE and <br />shmr to whom and da�c driivcred......_.._. GSC <br />� DBLiVER O\Ly 7'p ADDP.F.SSBf aud <br />show io whom dalr, and addrrss of <br />drlivcn� ............................._.__............ 85� <br />2. APTICLE PDDRESSED TO: <br />Archie Grow <br />5602 2nd AVE. S. <br />3. AHTICLE DESCRIPTION: <br />REGISTERED N0. CERTIFlED NO. INSURE� N0, <br />I OB2627 I <br />Ulwnys obLln signalure oI addrc�+ee or asent� <br />I havc rrccivcd �hc anidr. dcrcrib;.f T6ore, <br />SIGNRTURE � , � <br />/ � <br />4. � / �'d L.i_v <br />PActE Oi UF.UVCRV <br />O '.�7-.• � �a <br />5. ADDqE55 (Complela only If <br />6. UNqB�E 10 DEIIJER BECAUSf; <br />Archie Grow �a'o:.ii <br />5602 2nd Avenue South � <br />�verett, S9ashington 58203 I <br />; � <br />I = ' N(� <br />. �.., �. , .. _ . � . .. ._ . ES< � ` ` <br />.!AUt A Wb��'.l�l ' ' . . SOf � <br />'CC�At OFIIVEPY " - <br />(e�lm fe� r�GWndl...__..__ .................. <br />�_� '•1 �'��V' ., , „ � , .. . <br />
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