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AC 11-3,091310 GrnCrd
Handle: Document-69898
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Tuesday, September 14, 2010 11:40:43 AM CDT
Tuesday, September 14, 2010 11:40:54 AM CDT
Modified By:
Locked By:
  • SENDER:
COMPLETE THISSECTION •Complete items 1, 2,and 3.
  • Also
complete item 4 ifRestricted Delivery isdesired.
  • • Attach this card to the back
ofthe mailpiece, or onthe front ifspace permits.
  • 1922 Old
GraceRd.
  • P0 Box 229
Meredocia,IL 62665 A.
  • Si ature
x,,L4L,t&’-,DAgent D AddresseeB. Recewed by (Printed Name)C 7 of DeliveryD>)Ideliveiy address different from item 1? Yes /‘ It YES, enter delivery address below: NoD 3.SPIce TypeCertlfied MallD RegisteredInsuredD Mall4. Restlicted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
AC 11-3,091310 GrnCrd.pdf
No
1
79243
No
Appears In: AC 2011-003
Preferred Version: AC 11-3,091310 GrnCrd.pdf