| X ( ,t4k/n-4n Agent0 AddresseeR/C/by fed Name)t-hrkettD.- Is delivery address different from item 1? q Yes
If YES, enter delivery address below: q NoC.ORICINAL .± tialVEDnil Elk's OFFICE1 4 2007EOF ILLINOISSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete Items 1, 2, and 3.item 4 if Restricted Delivery Is desired.- ■ Attach this card to the back of the mailpiece,
or on the front if space permits. (Extra Fee) q Yes2. Article Number(Transfer from service label) 7006 0810 0004 222... |