delivery address different from item 1? if YES, enter deliveryaddress below: 3.
Service Type
ertif led Mail D Registered D Insured Mail 4.
Restricted Delivery? Print your name and address on the reverse
so that we can return the card to you.
A.
Signature
p’eceived by(Printed Name) 1. Article Addressed to: 6 / 20 / 13 B M. / AC 2013—043 Mike Munson 705 North Harrison 0b1rng, IL 62449 VC No C Express Mail C Return Receipt for Merchandise C C.O.D. I 02595-02-M-l 540
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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