Complete items 1, 2, and 3, Also completeitem 4 if Restricted Delivery is desired.
Attach this card to the back of the mailpiece,
or on the front if space permits.
P.O.
Box 340
Saint Peters, MO 63376-0006 D AgentD AddresseeB.
Received by YPrintod Name)
f C.
Date of Delivery
D. 18 delivery address different from Item 1? O Yesff YES, ent«r delivery address below: □ NoCD3. Service Type \ ^Certified Mall □ Registered □ Insured Mall D Express MollD RBtomj^ecelpt for Merchandise4. Restricted Delivery?
Allowed
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