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7DD <br />-Lo CL _ 0 C)q <br />• Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />• Print your name and address on the reverse <br />so that we can return the card to you. <br />• Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />1. Article Addressed to: <br />Mr. Robert Ortbal <br />Continental Casualty Company <br />333 Wabash Avenue <br />Chicago, IL 60604 <br />2. Article Number <br />(Transfer from service label) <br />PS Form 3811, July 2013 <br />A. Signature d jij' <br />X ❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Date of Delivery <br />D. Is delivery address different from item 1? ❑ Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />IV Certified Mail® ❑ Priority Mail Express- <br />0 Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) ❑ Yes <br />7014 0150 0000 011,38 6348 <br />Domestic Return Receipt <br />_■ (Domestic Mail Only; No Insurance <br />For delivery information visit our websit <br />`ID l- Postage: $0.69= <br />� Certified Fee: $3.30 <br />°- Return Receipt Fee: $2.70 <br />0 <br />(Ends Total Postage & Fees: $6.69 <br />Rests.,,,,,,... <br />(Endorsement Required) <br />U-) <br />r-q Total Postage & Fees $ <br />t-3 <br />Sent To <br />-I- Mr. Robert Ortbal <br />C3 orPO BrPO,B; c Continental Casualty Company <br />o <br />%n srei 333 Wabash Avenue <br />Chicago, IL 60604 <br />