COMPLETE THIS SECTION ON DELIVERYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery Is desired.
Attach this card to the back of the mailpiece,
or on the front if space permits.
Charles, MO 63301
1 B.
Received p/( Printed Name)
□ AgentD AddresseeD.
Is delivery address different from Item 17 D^Ves
If YES, enter delivery address below: D No3. Service Type^Certified MallU RegisteredD Insured Mail □ Express MailD Return Receipt for Merchandisea c.o.d.4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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