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CERTIFIED MAIL,. RECEIF <br />(Domestic Mail Only; No Insurance Covera; <br />r-q <br />ru F L U-SE <br />CO $0.44 <br />E3 postage: l$2.80 <br />Certified Fee: $2,30 n <br />Return Receipt Fee: 6 re <br />Cr <br />Total Postage & Fees: _ y <br />weal Postage & Fees <br />ul <br />0 355- <br />Lloyd A. & Patricia Ann Sandheinrih <br />or) 881 Edwards St. <br />---------- <br />St. Libory, IL 6228 <br />PS Form 3800, JUne 2002 See Reverse for Instrkirtion5 <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 />A. <br />0 Agent <br />1. Article Addressed to: <br />Zlo yd A. & Patricia Ann Sandheinrih <br />Edwards St. <br />St?!Ajbory, IL6-2282 <br />JK. Received by (Pr?l taAame) C. ate of Der ery <br />1'I__.,.,.. mac„ ? ? ? <br />D. Is delivery address different from item 1? Ur Ye' <br />If YES, enter delivery address below: 0 No <br />P 0 )6ox J <br />3. Service Type <br />0 Cerdfled Mail 0 Express Mail <br />0 Registered 0 Return Receipt for Merchandise <br />0 Insured Mall 0 C.O.D. <br />4. Restricted Delivery? (Extra Fee) 0 Yes <br />2. Article Number 7005 0390 0002 8281 8267 <br />(Transfer from service label) <br />PS Form 3811, February 2004 Domestic Return Receipt 10259542-W`1540