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Attach
this card to the back of the mailpiece,
or on the front
if space permits.
3. S~ice
Type
~Certifled
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Registered
o
Insured Mail.
4.
Restricted Delivery?
(Extiu
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0
Yes
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1.
ArticleAddressedto:
7/22/04
B.M.
PCB
2004—.~40
Myrtle
Pointer,
Registered
Agent
98
Curtis.
~treet
Jerséyy~i11~, IL
62052—2202
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address
different
from
item. 1?
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lfYES, enterdelivery address below~
0
No
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Express Mail
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Return
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2
Article Number
I
(TiansferfromserncelabeO
7702
0860
0004
9618
4803
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381 1
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