CLERK’S OFFICE ~~SENDER: COMPLETE THIS SECTION • 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
• Attach this card to the back of the mailpiece,
or on the front if space permits.
Anne, IL 60964
2.
Artic~
(rran~S PS Forli X C AddresseeB.
R ceived by (Printed Name) C. pate ofDelivery
D. Is delivery address different from item 1? 0 YesIf YES, enter delivery address below:- 0 No3~Service Type~ertified Mail 0 Express MailD Registered 0 Return Receipt for Merchandiseo Insured Ma...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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