AC 7-023Curtis Jim HammondRural Route 2, Box 62Astoria, IL 61501 COMPLETE THIS SECTION ON DELIVERYA. SI at re O AgentO AddresseeReceived by (Prints Name) C. Date of liveryrS Z pup lv. ibD. is delivery address different from Item 1? O YesIf YES, enter delivery address below : 11 No3. Ice Typeifled Mall 13 Express ...
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