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2410 40TH ST 2016-01-01 MF Import
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2410 40TH ST 2016-01-01 MF Import
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Last modified
3/31/2017 11:22:22 AM
Creation date
3/31/2017 11:22:15 AM
Metadata
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Template:
Address Document
Street Name
40TH ST
Street Number
2410
Imported From Microfiche
Yes
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�-- osta e) <br /> ;:cCLIFi � ti„ Cc�;Ti;!�� "�,��--30r (plus p g <br /> -' POSiMAPN <br /> � SCNi 70 OR UATE <br /> � ST8EE1 AND N0. <br /> �� <br /> ' ' P.O., S7AT° AND ZIP CO�E <br /> `X� <br /> -' --- � OPTIONGL SEPYICES FOP �OUIiIONAL FFFS _ <br /> �i:. P[TUNN' � --1. S�oMs to ��om dnG Oate EelivercE ........... 15G <br /> With Ceiivery to aACrenee aniY............fi5t <br /> - � PELEIPT � 2, S�ow�to w�om,Oale anC rhen 0ellrentl..]Sp <br /> —� SENVILES Wd�Oeilvery lo aCU�ess¢e onlY............ BSQ <br /> - - - _.._...., .........._ 50! <br /> DEIIVEP TO <DDRESSEE OM1IY - —.- - — <br /> ^j SPECIAL �E\IVERY (extra fee requlrs�-----��-��-"-""""_"" � <br /> �". ?5 Fo�r+ 14�� NO INS�AM1NCE COVE?ACC VROVIOED— (Sca o�her :�del <br /> , � �, � HOT Ff!B IH1EkNATIONAI MAR ,,,;-�. . -� � -� � � <br /> 0 SEFDER: ComPktt ittm� I.=.and S. <br /> Add your add�ns in the 'R[NAN TO" fpat. <br /> reverse. <br /> 3 <br /> 1. Thc folluwing secvice is reqauted (check onc). <br /> m � Show to whom and datr, dclivcrcd............ I5� <br /> n Show to whom,date,&addrcss o(dclivcry.. 35f <br /> ° � RES7RIC7'ED DEI.IVER}'. <br /> N Show to wlwm and datc dclivcred............. GS( <br /> � RFSTRICI'ED llELIVERI'. <br /> Show to whom, datc,and add�css of dclivery 85{ <br /> 2, pRTICLE ADDRESSED TO: A <br /> o�,,e �Y�a„c,�n,yG.�a�,Le.i <br /> � � �Sc t.t�e�/�^ '�' ��l�� <br /> z �y r s // �`' SGt� <br /> m � �z'!� /�!A 9��1 l - <br /> � 3. ARTICLE DESCPIPTION: <br /> � REGISTERED NO. CEflTIFIEO N0. INSURED NO. <br /> m I� 8� g.� � I <br /> � (Alweys obtaln�I6nnture o/eddnssee ar oge�U <br /> � <br /> m I have cceived the artide dcscribcd a6ovc. <br /> a <br /> mo SIGNATU ❑ Addrrt` '— ❑ Aulhu�'izcd agcnt <br /> / <br /> f'% �O�•, <br /> N d <br /> m 4� DATE OF DEUYERY STy� � � <br /> � 5. ADDRESS (Complate only II roQuesla ' �y�y/� <br /> n Y�� '�_�� "Q <br /> y 'li;,_., �17 <br /> =' 6. ONABLE TO OELIVER BECAUSE: S�� <br /> � INITI�LS <br /> i <br /> s <br /> � <br /> {:cm�iar o-wnro�� <br />
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