D Agent “ / D Addressee BAeceived by(PrfntedlIame) C.
D
e o Delivery CJ glqlio 0. Is deliveryaddress different fiom Item 1? D ‘es 1. Article Addressed to: If YES, enter deliveryaddress below: D No AC 2011-006 Beliville’s Garage LLC 1600 Wall Street Beardstown, IL 62618 I 3Service Type
rtlIied Mail
D Registered D Insured Mail C Express Mail C Return Receipt forMe,handise C C.O.D. 4. Restricted Delivery?
Allowed
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