COMPLETE THIS SECTION ON DELIVERYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mallpiece,
or on the front if space permits.
1.
Article Addressed to: 1/7/10 B.M.
PCB 2009-104Dale AdamsVillage of Rockton110 East Main StreetRockton, IL 61072 T D AgentG Addressee/B. Received by {Printed Name) C. Date of DeliveryD. Is deltvery address different from item 17 D YesIf YES, enter delivery address below; D No3. Service Type^"Certif...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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