COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.
Also complete
A.
Signature
item 4 ifRestricted Delivery is desired.
,sceved
by (Prin C.
IDate
of Delivery .
• Attach this card to the back of the mailpiece,
or on the front if space permits. If YES, enter delivery address below: C No D AC 2013—035 / Cloyd Karnes 10607 Old Highway 13 Nurphysboro, IL 62966 _________________________________ 3. Service Type Certified Mail D Express Mail C Registered D Return Receipt for Merchandise C Insured Mail C C.O.D. 4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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