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.
Suite 800 Illinois Building
607 East AdamsP.O.
Box 5131
Springfield, IL 62705 D Agent □ Addresseeby-fJ&mtodJVame; C.
Data of Delivery
D. Is delivery address dIf YES. (Extra Fee) □ Yes2. Article Number(Transfer from service label) 7009 0960 0000 5942 1644PS Form 3811, February 2004 Domestic Return Receipt 102595-...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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