SENDER:
    COMPLETE
    THIS
    SECTION
    Complete
    items
    1,
    2,
    and
    3.
    Also
    complete
    item
    4
    if
    Restricted
    Delivery
    is
    desired.
    •
    Pri.nt
    your
    name
    and
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    on
    the
    reverse
    so
    that
    we
    can
    return
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    card
    to
    you.
    •
    Attach
    this
    card
    to
    the
    back
    of
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    mailpiece,
    or
    on
    the
    front
    if
    space
    permits.
    1.
    ArticleAddressedto:
    1/8/09
    3751
    North
    500th
    Avenue
    Alpha,
    IL
    61413
    AC
    2009—018
    Shirely
    Voss
    Is
    delivery
    address
    different
    from
    item
    1?
    Yes
    if
    YES,
    enter
    delivery
    address
    below:
    D
    No
    3.
    Service
    Type
    ‘Øcertified
    Marl
    O
    Registered
    D
    Insured
    Mail
    r..jwiIIp,;mI1I*,(.,
    ‘I.1IaJ4IvI:’
    A.
    Signature
    /
    D
    Agent
    C
    Addressee
    9
    Received
    by
    (
    ,‘rint
    d
    Name)
    I
    C.
    Date
    of
    Delive
    Avii
    1
    SS
    C
    Express
    Mail
    C
    Retum
    Receipt
    for
    Merchandise
    C
    C.OD.
    4.
    Restricted
    Delivery?
    (Ext,s
    Fee)
    C
    Yes
    2.
    Article
    Number
    •
    (rransfer
    from
    service
    label)
    7008
    1830
    0003
    9908
    8000

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