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 mailpiece.
101 N.
East Street
P.O.
Box 79
Cambridge, IL 61238-0079 A. SI □ Agent □ AddresseeBjfleceived By (PrintedName)'a/frtjrnlte C. DateyDf Delivery/oTsltlD. Is delivery address different fro* Hem 1 ? DYesIf YES, enter delivery address below: O No3. Service Type^-Certified Mail □ RegisteredD Insured Mail D Express MallD Return Receipt for Merchandise □ C.O....
Allowed
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