The Boundary and Annexation Survey (BAS)

The Boundary and Annexation Survey (BAS) & Boundary Validation Program (BVP)

bas12pc_13

The Boundary and Annexation Survey (BAS)

OMB: 0607-0151

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AN EQUAL OPPORTUNITY EMPLOYER

Geography Branch

C

OFFICIAL BUSINESS
Penalty for Private Use $300
BAS-12PC (9-2012)

AN EQUAL OPPORTUNITY EMPLOYER

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 16081

Geography Branch

C

OFFICIAL BUSINESS
Penalty for Private Use $300
BAS-12PC (9-2012)

BUSINESS REPLY MAIL

WASHINGTON, DC

FIRST-CLASS MAIL

PERMIT NO. 16081

WASHINGTON, DC

POSTAGE WILL BE PAID BY U.S. CENSUS BUREAU

POSTAGE WILL BE PAID BY U.S. CENSUS BUREAU

US CENSUS BUREAU
PO BOX 5000
JEFFERSONVILLE IN 47199-5001

US CENSUS BUREAU
PO BOX 5000
JEFFERSONVILLE IN 47199-5001

FFTTATATFFDATTFTAFDFTATADDTATFFFDDADDTTTFDFTFTDTTDAFDDTTAFFAFAFTA
Geography Branch

C

OFFICIAL BUSINESS
Penalty for Private Use $300
BAS-12PC (9-2012)

AN EQUAL OPPORTUNITY EMPLOYER

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 16081

FFTTATATFFDATTFTAFDFTATADDTATFFFDDADDTTTFDFTFTDTTDAFDDTTAFFAFAFTA

AN EQUAL OPPORTUNITY EMPLOYER

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

WASHINGTON, DC

Geography Branch

C

OFFICIAL BUSINESS
Penalty for Private Use $300
BAS-12PC (9-2012)

NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES

BUSINESS REPLY MAIL
FIRST-CLASS MAIL

PERMIT NO. 16081

WASHINGTON, DC

POSTAGE WILL BE PAID BY U.S. CENSUS BUREAU

POSTAGE WILL BE PAID BY U.S. CENSUS BUREAU

US CENSUS BUREAU
PO BOX 5000
JEFFERSONVILLE IN 47199-5001

US CENSUS BUREAU
PO BOX 5000
JEFFERSONVILLE IN 47199-5001

FFTTATATFFDATTFTAFDFTATADDTATFFFDDADDTTTFDFTFTDTTDAFDDTTAFFAFAFTA

FFTTATATFFDATTFTAFDFTATADDTATFFFDDADDTTTFDFTFTDTTDAFDDTTAFFAFAFTA

If your governmental unit has no boundary changes to report, please update the information
below and return this postcard within five days. As an alternative, you may choose to provide this
information on our Web site at  or e-mail us with
the message no boundary changes to . Include your name,
position, and the name of your governmental unit in the e-mail.

If your governmental unit has no boundary changes to report, please update the information
below and return this postcard within five days. As an alternative, you may choose to provide this
information on our Web site at  or e-mail us with
the message no boundary changes to . Include your name,
position, and the name of your governmental unit in the e-mail.

Print name

Print name

Position

Date

Position

Date

If your contact information has changed, please call 1–800–972–5651 or send an e-mail to
 with the updated information. Please DO NOT return the forms or
maps if you do not have any changes to report.

If your contact information has changed, please call 1-800-972-5651 or send an e-mail to
 with the updated information. Please DO NOT return the forms or maps
if you do not have any changes to report.

BAS-12PC (9-2012)

BAS-12PC (9-2012)

If your governmental unit has no boundary changes to report, please update the information
below and return this postcard within five days. As an alternative, you may choose to provide this
information on our Web site at  or e-mail us with
the message no boundary changes to . Include your name,
position, and the name of your governmental unit in the e-mail.

If your governmental unit has no boundary changes to report, please update the information
below and return this postcard within five days. As an alternative, you may choose to provide this
information on our Web site at  or e-mail us with
the message no boundary changes to . Include your name,
position, and the name of your governmental unit in the e-mail.

Print name

Print name

Position

Date

Position

Date

If your contact information has changed, please call 1-800-972-5651 or send an e-mail to
 with the updated information. Please DO NOT return the forms or
maps if you do not have any changes to report.

If your contact information has changed, please call 1-800-972-5651 or send an e-mail to
 with the updated information. Please DO NOT return the forms or
maps if you do not have any changes to report.

BAS-12PC (9-2012)

BAS-12PC (9-2012)


File Typeapplication/pdf
File Titleuntitled
File Modified2012-09-26
File Created2012-09-24

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