- D.
- Is
delivery address different from item 1?
if YES, enter deliveryaddress below:
3.
- Service Type
ertif led Mail
D Registered
D Insured Mail
4.
- Restricted Delivery? Print your name and address on the reverse
so that we can return the card to you.
- A.
- Signature
p’eceived by(Printed Name)
1.
Article Addressed to:
6 / 20 / 13
B M.
/
AC 2013—043
Mike Munson
705 North Harrison
0b1rng, IL 62449
V
C
No
C
Express Mail
C
Return Receipt for Merchandise
C
C.O.D.
I
02595-02-M-l
540
AC 13-43,062613 GrnCrd 
