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INSPECTION SHEET 3,-,2 & .7 /
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ADDRESS � �� P/u�'c� ASSESSORS MAP- PAGE_3���3
OWNER OF PROPERTY &&p,(20 l'I iCh a II-) J-to DATE OF INSPECTION
OWNER OF VEHICLE
WAS THE OWNER OF THE PROPERTY OR THE VEHICLE CONTACTED AT THE TIME OF INSPECTION?
HOW MANY JUNK OR UNREGISTERED VEHICLES ON THE PROPERTY? _-
WERE PICTURES TAKEN OF THE VEHICLES qt'j• ?
DESCRIPTION OF VEHICLES:
MAKE MODEL YEAR JUNK/ UNREGISTERE'
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`!OINSUNANCE COVERAGE PROVIDED—
NOT R)R INTERNATIONAL MAIL
(See Reverse)
SENT TO
Charles Michalowski
STREET AND NO.
Street
P.O.,STATE AND ZI CODE
Northampton. Ma. 01060
POSTAGE $ 1
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m 1. The following service is requested(check one). �>
a ® Show to whom and date delivered. .... ..... 45
C ❑ Show to whom,date,and address of delivery. .¢
RESTRICTED DELIVERY
Show to whom and date delivered... .. .. .. . ¢
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(CONSULT POSTMASTER FOR FEES)
2. ARTICLE ADDRESSED TO:
Charles Michalowski
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L 3. ARTICLE DESCRIPTION:
REGISTERED NO. I CERTIFIED NO. INSURED NO.
832
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