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Title:	PCB 13-40,061113 GrnCrd
Handle:	Version-81507
Owner:	Brown, Don (User-14, brownd:DocuShare)^DS
Create Date:	Wednesday, June 12, 2013 09:56:00 AM CDT
Modified Date:	Saturday, May 12, 2018 03:39:52 AM CDT
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Abstract:	- • Complete items 1, 2, and 3. - Also complete item 4 if Restricted Delivery is desired. - • Attach this card to the back of the mailpie or on.the front if space permits. - 802 E. - Jefferson Street Oregon, IL 61061 Signature / Addressee S R eived by (Frinted me) . - ae of Qelivery D. Is delivery address different from item 1? C Yes IfYES, enter delivery address below: C No c__ c. fr. 4. Restricted Delivery? (Extra Fee) C Yes 102595-02-M-1540 2. Article Number (Transfer from service label) PS Form 3811, February 2004 7011 0110 0001 8270 4278 Domestic Return Receipt
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Version Number:	1
Appears In:	PCB 13-40,061113 GrnCrd