SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Conipiéte items 1, 2~and 3.
Also complete
item 4 if1~est,1btedDelivery is desired.
a Attach this card to the back of the mailpiece.
/
1..
Article Addressedto: 8 /5/04 B .M.
AC 2004—057
Arlyn Ray A.~xSignature/~ ~ 0 AddresseeB. Recef~dby(Pi*ite~aine) C.. Date of Delive~-i~-O~4. Restricted Delivery? Washingtoü, IL 6.1571 0. Is delivery add?ess different fi~rn.item 1? 0 Y~sIf YES, enter delivery address below: 0 No3. ServIceType~?erfifledMailo igister...
Allowed
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