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.
Hartford Refinery
201 East HawthorneHartford, IL 62048-0007 □ AgentD AddresseeB.
Received by f Printed Name) C.
Date of Delivery
7/D. Is delivery address different from Item 17 D YesIf YES, enter delivery address below: d No3. Service Type"ttCertified Mail □ RegisteredD Insured Mall □ Express MallD Return Receipt for MerchandiseD C.O.D.4. Restricted Deli...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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