Chicago, IL 60606 AU& !62JJ~~~TU’~___________ ~ 0 Agent0 Addresseepo~flç~eivC~Is deliveryaddress different fitm item 1? 0 YesIf YES, enter delivery addr~essbelow: JJ NQ3.~e)~liceType~r1~fied Mail ,~ Re$isteesd .
IJ Express Mail
0 RetUrn Receipt: for Merchandise0 Insured Mail 0 C.O.D.2904 iohie~ti4Return Receipt(Thansfer from service label) 7002 b860 0004 9~1847~04. Restricted Delivery?
Allowed
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