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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ CompletQ,items 1,2,an re <br /> d 3. A. Signatu <br /> ■ Print ybw,name and•address on the reverse X = ❑Agent <br /> ` <br /> so that we can return the card to you. 13 Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received by(Printed-t ft rlo C. Ye of gelivery <br /> or on the front if space permits. <br /> 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes <br /> _ If YES, sI&r1Lr,qddres gebw: ❑No <br /> Georgie Bistfell 1 , 'Xt;TIGn <br /> Great American Insurance Company, <br /> 301 E. 4th Street AF`Z 0 € � ;•,A <br /> 24th Floor Bond Division '~~ <br /> Cincinnati, OH 45202 <br /> II I IIIIII IIII III I II II I I II I II I II I III II II I I I III ❑Adultt Signature vice e 0 Priority Mail s® <br /> r ❑Registered MaITTm <br /> ❑Adult Signature Restricted Delivery ❑R istered Mail Restricted <br /> 9590 9402 3488 7275 7598 34 ❑CCeertifieedd Mail Restricted Delivery ❑R;eAr= ocetpt for <br /> ❑Collect on Delivery Merdrmndfea <br /> 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signa ire Confir nationT <br /> ❑Insured Mail ❑Signature Confirrnation <br /> 7 016 2 710 0000 2965 3533 ❑Insured Mail Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Postal <br /> CERTIFIED oRECEIPT <br /> m Domestic <br /> m <br /> m <br /> Ln <br /> _a Certified Mail Fee <br /> ru 0.1 to 1.0 oz. Postage $0.47 <br /> ❑ Certified Fee: $3.45 <br /> r3 o Return Receipt Fee: $2.75k <br /> o ❑ <br /> ❑ Total Postage & Fees: <br /> r3 Pos _ <br /> Total Postage and Fees <br /> ru $L&entTo <br /> Georgie Bistfell y ��, <br /> Great American nce Copancm 301 E. 4th Street ! 3:�i°1 24th Floor Bond Division <br /> M. Cincinnati, OH 45202 <br />