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SENDER: DELIVERY <br /> ■ Complete items 1,2,and 3.Also complete A. Sir e <br /> item 4 if Restricted Delivery is desired. ❑Agent <br /> ■ Print your name and address on the reverse X ❑Addressee <br /> so that we can return the card to you. B. Received by tell/I" C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, TAN!V^, '1 IK <br /> or on the front if space permits. <br /> D. Is delivery address different from item 1? ❑Yes <br /> 1. Article Addressed to: If YES,enter delivery address below: ❑ No <br /> Dena Vazzano <br /> North American Speciality Insurance Company <br /> 475 N. Martingale Road, Suite 850 <br /> Schaumburg, IL 60173 <br /> 3. Service Type <br /> Certified Mail® ❑Priority Mail Express'" <br /> ❑Registered ❑ Return Receipt for Merchandise <br /> ❑ Insured Mail ❑Collect on Delivery <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number <br /> (Transfer from service label) 7 014 0150 0000 9138 2258 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />