Hickman Certified Mail Cards

.ENDER: COMPLETE THIS SECTION K+ " : 0 • II :-
■ Complete items 1,2,and 3. A. Signature
• Print your name and address on the reverse x 01/17)179 -
,�j� � 0 Agent
so that we can return the card to you. % 0 Addresse
I Attach this card to the back of the mailpiece, B. Received by(Print=•N: e) C. Date of Deliver
or on the front if space permits. (i✓t(�- A. �p�s�' ' 'r /./
I. Article Addressed to: D. Is deli= addr�dSs different 1? ❑Yes
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If YES =nterd ' a w: El No
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Co ,(•\.C. DtoS( 2018
II I III I IIII 11111111 III I 1111111111111111111 3. Service,El❑Adult S gnat Pee-'r7,0 •D I v% •R13 egistered Mail Rest, Mail ®i
9590 9402 1862 6104 9914 01 ❑Certified Mail® Delivery
0 Certified Mall Restrict:. • '_ ' 0 Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery El Signature Confirmation'
❑Insured Mail • 0 Signature Confirmation
0 Insured Mail Restricted Delivery Restricted Delivery
(over$500)

USPS TRACKING#
First-Class Mail
111111 111111 111110 1111 111 I Postage&Fees Paid
USPS
Permit No.G-10
9590 9402 1862 6104 9914 01
United States •Sender:Please print your name,address,and ZIP+4'in this box•
Postal Service
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P. D. BOX t o�
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