SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
Attach this card to the back of the maiipiece,
or on the front if space permits.
1348 South Main Street
P.O.
Box 826
Monmouth, IL 61462 A.
Signature
X J.Jo AgentAddresseeB. Received by (Printed Name) C. Date of Deliygry/s delivery address different from item 1 ? □ YesIf YES, enter delivery address below: □ No3. Service TypeQJ-Certified MallD RegisteredD Insured Mall D Express Mall □ Return Receipt for MerchandiseD C.O:D.4. Restricted Delivery? ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Case Files 
