Hinshaw & Culbertson SENDER COMPLETE THIS SECTION •Complete items 1,2, and 3.
Also complete
item 4 ifRestricted Delivery is desired.
•Attach this card to the back of the mailpiece,
/ or on the front if space permits.
• Print your name and address on the reverse
so that we can return the card to you.
C Agent
Address B. Received by( ofl)ei ..SLl \J JLC7Jr D. Is delivelyaddress different frem item 1? C Yes If YES, enter deliveryaddress below: C No 100 Park Avenue
3. Service Type P .0. Box 1389 ‘Certified Mail D Express Mail Rockford, IL 61105—1389 ti Registered C Return Receipt for Merchandi C Insured Mail C C.O.D. 4...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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