__, ,_I_fl_: SENDER: COMPLETE THIS SECTION • Complete Items 1, 2, and 3.
Also
complete item 4 if Restricted Delivery is desired.
Also
complete if RestrictedDelivery Is desired.
(Ext, Fee)
C Yes C ture Agent .0 Addressee B. Received by (Printed Name) I c. Date of Delivery ker) 1 .-, I 7ii/t 0 Express Mall C Retum ReceIpt for MerchandIse C C.O.D. 4. Restricted Delivery? 1. Article Addressed to:7/15/10 B.M.AC 20 10—004Kathy Knutson9413 W. Henry RoçdPolo, IL 61064 4. Restricted Delivery? 1. ArticleAddreesedtO7/15/10 B.M.AC 2010—004Ban Bocker2744 W. Branch RoadPolo, IL 610642. Article Number(Uransfe...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf