1. Page 1

 
Signature
COMPLETE THIS SECTION ON DELIVERY
D. Is delivery address different from item 1? El Yes
If YES, enter delivery address below: ,./ig
No
A.
X
B.
ceived by (
Printed Name)
:TAD C GaEEVC--
kg" Agent
Addressee
-C. Date of Delivery
C7/W/06
SENDER:
COMPLETE THIS SECTION
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
7/21/08 B.M.
AC 2008-033
Rex Greene
P.O. Box 32
East Lynn, IL 60932
3. Service Type
1-Gertified Mail 0 Express Mail
?
Registered?
0 Return Receipt for Merchandise
?
0 Insured Mail?
0 C.O.D.
4. Restricted Delivery? (Extra
Fee)
?
0 Yes
2. Article Number
(Transfer from service label)?
7007 3020 0000 4630 6798
PS Form
3811,
February 2004
Domestic Return Receipt
102595-02-M-1540

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