01 LINOIS Board SENDERCOMPLETE THIS SECTION jCOMPLETE THIS SECTION ON DELIVERY •Complete items 1, 2, and 3.
Also complete
A.
Signature
item 4 if Restricted Delivery is desired.
EJ
Agent • Print your name and address on the reverse 7 •Addressee so that we can return the card to you BReceived by (Printed Name) C Date of Dehvery • Attach this card to the back of the mailpiece, 4 j or on the front if space permits.
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Is delivery address different from item 1? D Yes 1.
Article
Addressed to: 9 / 30/08 B If YES, enter delivery address below: D No AC 2007—028 Charles Norman Bartlett RR 1 Hamburg, IL 62045—9801 3. Service Type...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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