DER:

COMPLETE

THIS

SECTION

Domplete

items

1,

2,

and

3.

Also

complete

tern

4 if

Restricted

Delivery

is

desired.

rint

your

name

and

address

on

the

reverse

o

that

we

can

return

the

card

to

you.

ttach

this

card

to

the

back

of

the

mailpiece,

r on

the

front

if

space

permits.

rticleAddressedto:

10/1/09

B.M.

B

2009—110

11

S.

Forcade

riner

&

Block

e

IBM

Plaza

th

Floor

icago,

IL

60611

uticle

Number

A.

Signature

I

\

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Agent

Z

Addressee

R

elved

by

(Printp))e

of Delivery

0.

Is

delivery

address

re

ro

m

19

0

Yes

If

YES,

enter

delivery

address

below:

C

No

3. service

Type

Certified

Mail

C

Express

Mail

Registered

C

Retum

Receipt

for

Merchandise

C

Insured

Mail

C

COD.

4. Restricted

Delivery?

(Extra

Fee)

C

Yes