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/22/$7/2 <br />SENDER: COMPLETE THIS SECTION <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 />Ir.. •ore Indemnity Inc. <br />_•O Lebanon Road <br />Mt. Juliet, TN 37122 <br />COMPLETE THIS SECTION ON DELIVERY <br />A. Ilia <br />najure <br />a Anderson <br />❑ Agent <br />❑ Addressee <br />B. Received by (Printed Name) <br />D. Is delivery address different from item 1? 0 Yes <br />If YES, enter delivery address below: 0 No <br />3. Service Type <br />CA Certified Mail® 0 Priority Mail Express' <br />❑ Registered 0 Return Receipt for Merchandise <br />❑ Insured Mail 0 Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) <br />0 Yes <br />2. Article Number <br />(Transfer from service label) <br />7014 2120 0001 7871 1714 <br />PS Form 3811, July 2013 <br />Domestic Return Receipt <br />