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8212 5TH AVE W 2016-01-01 MF Import
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8212 5TH AVE W 2016-01-01 MF Import
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Last modified
4/3/2017 9:58:31 AM
Creation date
4/3/2017 9:58:15 AM
Metadata
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Template:
Address Document
Street Name
5TH AVE W
Street Number
8212
Imported From Microfiche
Yes
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,� <br /> � <br /> � <br /> ( JDER: ComPlele iums 1.=.aud t <br /> Add your �ddrea m �he .:iNfth TO" spave � <br /> ¢veru. <br /> 3 <br /> 1. Thc (olluwing servicc is rcqucsted (check onc). , � _ <br /> m � Shuw to whom and datc ddiveced ......... 15� � � � . ,�,.` <br /> � Show to whom,datc, 8 addrrss of dcli�'cry.. 35( .� �� � `��.� <br /> " � ILIi59li1C'IED llC1.IVEltI'. � . . . . ' �'t <br /> � Show iu wLom and datc dclnrnJ. ...__._ fi5{ .' . ��. <br /> � RF.S"PRIC7'ED UEI.1\'GRI. . � <br /> Show to a•hom,datr, and aJdres<uf dclivery BSf . „ _ .. <br /> A 2. IIRTICLE ADDRESSED TO: � '��C`ICJ(L�l <br /> 'a CQr�. �1�-'.� <br /> p I��F�S - �3 �daue`i�� <br /> m _ �_Cl ti�Gr�d�, �c�C Z V_ J <br /> n 3. ARTICLE �ESCRIPTION: <br /> m <br /> � REGISTERED NO. CERTIFIED N0. �NSUfE� NO.. , <br /> i t <br /> � ���I ��� � <br /> m <br /> � (�Iwais nbtaL.slC���ure of addressre or e�<n�l <br /> � <br /> m I havc rreeired the artide describrd abocr. <br /> A <br /> rn $IGNATURE ❑ Addrrnsrn i_ :Authnusnl :igcnl <br /> 0 <br /> '" i.-+..-_�--L��!�CcJ L� _. f <br /> m a DA�OF DELN�PY POSTMARK <br /> � �_3 ��� ,y <br /> T <br /> = 5. AODRESS (Comp�em unly if nduesled) <br /> O <br /> O <br /> m <br /> x <br /> y <br /> -� 6. UYA6LE TO �ELIVER PECAUSE CLERK'S <br /> m 1!lRipLS <br /> O 1 <br /> > �.i <br /> r �. <br /> ir o,,..i;n-o-,eac+: <br /> CGIPT FOR CERTIFIED MAI 30c� (plus postage) <br /> — I POSTIdAflN <br /> ,o C� „ C�1�'�C'r��-_N�.��� 31��/"7S <br /> Y <br /> , - �::r ,;rvnl `JV-lJ g =lv �C�_���_Sv_ <br /> ' . ' ' �'�I �i-�o�c1S �,�- �t��2'?�_ <br /> '— t�il�tl i 'Ei1Jl::`+ ipi! i�i�I11GNFl FEES <br /> BElUfill' � � 1 npom arJ aate lellYeretl ,. 15t <br /> . , p[LEIPi i I ,+iic• �tv 3�d e^ee only .....GSp <br /> 2. S�aws�c x�cm tl�a anA whNe dcllrereG.. 35� <br /> '-' SEPWCIS lliln delive � lo a�� ssc^.anly ... 85�' <br /> � IiELIYCN i0 P��RESSEE�OMLY . -. .... .__... SOt� <br /> S"lf.l!.' CI'.IVfi1Y (ezfra fN ro5�irr�} . �- -.. .... ...-.... <br /> ._—_�_ . <br /> ._._. .. .. _. _— � ��Ir., rflft^P.f.r ..�.f:IPf��__ -[�., ,..�, _. <br /> � � � .n. �' i! . . <br /> � <br /> I ` J <br />
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