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PCB 13-40,061113 GrnCrd
Handle: Document-80445
Owner: Brown, Don (User-14, brownd:DocuShare)DS
Wednesday, June 12, 2013 09:56:00 AM CDT
Wednesday, June 12, 2013 09:56:15 AM CDT
Modified By:
Locked By:
  • • Complete items
1, 2, and 3.
  • Also complete
item 4 if Restricted Delivery is desired.
  • • Attach this card to the back of the mailpie
or on.the front if space permits.
  • 802 E.
  • Jefferson Street
Oregon, IL 61061 Signature / Addressee S R eived by (Frinted me) .
  • ae
of Qelivery D. Is delivery address different from item 1? C Yes IfYES, enter delivery address below: C No c__ c. fr. 4. Restricted Delivery? (Extra Fee) C Yes 102595-02-M-1540 2. Article Number (Transfer from service label) PS Form 3811, February 2004 7011 0110 0001 8270 4278 Domestic Return Receipt
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
PCB 13-40,061113 GrnCrd.pdf
No
1
110036
No
Appears In: PCB 2013-040
Preferred Version: PCB 13-40,061113 GrnCrd