SENDER COMPLETE THIS SECTION • Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
• Attach this card to the back of the mailpiece,
or, on the front if space permits.
d/b/a
C~V~!DCLERK’S OFF~CFr.i.
A.
i~i~i~i~i:i~
Si na ure iw~_ ~ XB 1 5 /1 ~ C~-(-~..-~Received by (Printed Name) DAgent0 AddresseeC.D. Is delivery address different from item 11 0 “t?sIf YES, enter delivery address below: 0 No2. Article Number(rransfer from service Iabes9 3. Service Typ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf