COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
I Attach this card to the back of the mailpiece,
or on the front if space permits.
(Extra Fee) C Yes
2.
Article Number
(Transferfrom service label) 7009 0960 0000 5942 2498 CA SignatureW-B.
Received by (Pfinted Name) C. Date of Delivery
1. Article Addressed to: 5/6/10 B.M.PCB 2010—095Donald Erickson104 West Berrien Stre&tAltona, IL 61414PS Form 3811, February 2004 Domestic Return Receipt ...
Allowed
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