SENDER: COMPLETE THtS SECTION COMPLETE THIS SECTION ON DELIVERY
Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery Is desired.
Attach this card to the back of the rnailpiece,
or on the front if space permits.
1359 W.
Garfield Avenue
Bartonvill le, IL 66107 A.
Sig
X □ AgentD AddresseeB. Becsived by,( Printed Name)D. Is delivery address different from item 1? □ YesIf YES, enter delivery address below: D No3. Service Type^Q Certified MalltJ Registered □ Insured Mall □ Express Mail □ Return Receipt for Merchandise □ C.O.D.4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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