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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> • Complete items 1,2,and 3. A. Signature <br /> • Print your name and address on the reverse yF 1 lit Agent <br /> so that we can return the card to you. '_ t3'UQ� ❑Addressee <br /> • Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Delivery <br /> or on the front if space permits. bEI4.7- U((0'4\10 06/10/c)41 <br /> 1. Ar delivery address different from item 1? IQ Yes <br /> If YES,enter delivery address below: ❑No <br /> Joseph Forster <br /> Jack D. Tabb, LLC I 6)15j 5a4940.9a. 5,-- <br /> 1650 Saratoga St. <br /> Antigo, WI 54409 <br /> I HMI <br /> I III 1111111111 111111111110111110 <br /> IIII'll III III I I `W rtered <br /> Adult SignatureMaiRestricted Delivery 0 RegisteredMress® <br /> ail Restrict& <br /> Delivery <br /> 9590 9402 4401 8248 9004 59 0 Certified Mall Restricted Delivery 0 Return Receipt for <br /> 0 Collect on Delivery Merchandise <br /> — - <br /> "" "act on Delivery Restricted Delivery 0 Signature Confirmation", <br /> 7 017 2400 0000 9119 3 512 'ed ❑Signature Confirmation <br /> ed Restricted Delivery <br /> over <br /> PS Form 3811.July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br />