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� C1 <br /> �- �co o- <br /> SECTIONSENDER: COMPLETE THIS SECTION COMPLETE THIS . . <br /> ■ Complete items 1,2,and 3.Also complete A. Signature <br /> item 4 if Restricted Delivery is desired. Patrick O'Dpn El Agent <br /> ■ Print your name and address on the reverse Xt� ❑Addressee <br /> so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery <br /> ■ Attach this card to the back of the mailpiece, <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 /> gum <br /> United Fire & Casualty <br /> l l8 2nd Ave. SE, <br /> P 0 Box 73909 3. Service Type <br /> Cedar Rapids, IA 52407 Sl 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 /> 2. Article Number <br /> (rransfer from service label) ?014 2120 0001 ?8 8 5 6255 <br /> PS Form 3811,July 2013 Domestic Return Receipt <br />