COMPLETE THIS SECTION ON DELIVERYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
1.
Article Addressed to: 6/21/12 B.M.
AC 2010-030Frances Klink81 Our LaneMurphysboro, IL 62966 B. Received by (Printed Name)A. SignatureX D AgentD AddresseeC. Date of DeliveryD. Is delivery address different from item 1 ? d YesIf YES, enter delivery address below: □ No3. Service Type"tAcert...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
Case Files 
