COMPLETE THIS SECTION ON DELIVERYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
Attach this card to the back of the maiipiece,
or on the front if space permits.
/
Charles Burns * 9951 McLaughlin RoadWilliamsville, IL 62693 D Agent □ AddresseeTs delivery address different from Item 1?H YES, enter delivery address below:3.
Service Type
{^Certified MallD RegisteredD Insured Mail D Express MallD Return Receipt for Merchandise □ C.O.D.
4. Rest...
Allowed
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