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PCB 12-16,120711 GrnCrd
Handle: Document-74506
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Thursday, December 8, 2011 09:49:47 AM CST
Thursday, December 8, 2011 09:50:00 AM CST
Modified By:
Locked By:
  • SENDER: COMPLETE THIS SECTION
• Complete items 1, 2, and 3.
  • Also complete
item 4 if Restricted Delivery is desired.
  • I Attach this card to the back ofthe mailpiece,
or on the front if space permits.
  • 12 /
1 / 1 1 B M.
  • If
YES, enter delivery address below: C No PCB 2012—016 Mark Lilly 508 Culver Street Rock Falls, IL 61071 / ,-Signature .-i — —
  • -/
Agent A/ /‘ ( iZ Dddressee ‘eceivedby ( Printed Name) C.
  • Date
of Delivery 17--c--” V/ 3. Service Type ertifled Mail Registered C InsuredMail C ExpressMail C Return Receipt for Merchandise C COD.
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
PCB 12-16,120711 GrnCrd.pdf
No
1
33479
No
Appears In: PCB 2012-016
Preferred Version: PCB 12-16,120711 GrnCrd.pdf