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.
220 N.
West Street
Olney, IL 62450 *A D AgentC.
Date of Delivery
P-2ST1QD. Is delivery address different from Item 1? CD YesIf YES, enter delivery address below: D No3. Service Type ^ Certified MallD RegisteredD Insured Mall D Express MallD Return Receipt for MerchandiseD C.O.D.4. Restricted Delivery?
Allowed
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