Page 7 - Mississippi 811 Magazine 2017 Issue 2
P. 7

City Puul 1 ll; cm. I
SEE:

M_55_s5W , phutes, documents, sketches, _pehce
xepens, ete... any dotumentahun you
think will pmve your case canclusively.

mu M Amaea Violalion - A A

, _ _ Any photos subnuttad mu he even

‘J 1- 5“‘‘'''°‘''‘9 ‘”‘‘"°"‘ 3 °“° 9*" “““‘ mme effective it they are date and time

L, 2_ Ewan” my stamped and helps yuu ten the story of
the violation.

L. 3. Mechaniml excavating wimln the marks on the HR is ,mL it will be

L1 4. Fadure ho lotzhe .evaewed, investigated and submitted
tn the Executive cmnnnttee appoinled

«. n 5. ma ml Iocate wmun me requlrec me by the E“‘mmmBoml_ M”

<_: 6. other (ascnhe ham») eletennansng whether DI’ nut a viulafion
uccun-ed and the penalty for the

1, M ,, ha‘, ,_ M. ,,,_,",,,r M ,, ,,,_ viulafiun (ii appmpnate), the viulatur

I‘ ' . ". P "''m ' andclaimamvvillbenafified astethe
outcome. '
Far more infnrmntinn abut the AVR or
the pmttss, you may mrmxct Rngzv cu,
Executive Secretary at enjemanentaz
msdamagzpreventinn mm.

to-an ndm numb-r (if knuwn)

2013 my AVR Summary Numbeus an page 7
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NH HM AMIPM

Location of Alleged \I:oIat6an

Sillil Addrfi ' Ifllllfl Hill 2

city ' Postal I ll! Coda ’

CHAIR] ' Stab

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