COMPLETE THIS SECTION ON DELIVERYSign q Addressee • AgentC.
Date of Delivery
D.
Is delivery address different from item 1? q Yes
If YES, enter delivery address below: q No3. Service TypeVI Certified Mall q Express Mailq Registered O Return Receipt for Merchandiseq Insured Mall q C.O.D.XB. Received by ( Printed Name)4. Restricted Delivery?
Allowed
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