Road Normal, IL 61761 D. Is delivery address different from item 1? C Yes If YES, enter delivery address below: C No 3. Service Type Certified Mail C Express Mail Registered C Return Receipt for Merchandiss C Insured Mail C C.O.D. • Complete items i, 2, and 3. Also complete I A Sidature /) i item 4 if Restricted Delivery is desired C Agent • Print your name and address on the reverse C Addressee so that we can return the card to you. 8270 PS 005...
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