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,
or on the front if space permits.
N
East Mollne, IL 61244 ived by □ Agent □ AddresseeC.
Date of Delivery
V^l itD.
Is delivery address different from Hem 1 ? D Yes
tf YES, enter delivery address below: D No3. Service TypesSxertified MallO RegisteredD Insured Mail D Express MailD Return Receipt for MerchandiseO C.O.D.4. Restricted Delivery?
Allowed
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