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.
604 S.
Lodge
P.O.
Box 549
Shelbyville, IL 62565 D. Is delkery address different from item 1 ? □ YesIf YES, enter delivery address below; O No3. Service Type^Certified MallU RegisteredD Insured Mail □ Express Mall □ Return Receipt for Merchandise □ C.O.D.4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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