complete item 4 if Restricted Deilvery is desired.
• Attach
this card to the back of the mailpiece, or on the front if space permits.
5414
Hill Road, Ste.
382
Richmond, IL 60071 I A.
Sig
D Agent x l Addressee ,Y4eived by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? EJ Yes IfYES, enter delivery address below: D No 3. Service Type ..Certified Mail C Registered C Insured Mail SENDER: COMPLETE THIS SECTION ii PS Form 3811,February 2004 O Express Mail O Return Receipt for Merchandise o C.O.D. 4. Restricted Delivery?
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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