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I.S. Postal <br /> Er CERTIFIED MAII-TrA RECEIPT <br /> -0 (Domestic <br /> .o <br /> r-3 Offln 190 1 <br /> M <br /> L USE <br /> ,- y <br /> Er Postage $ <br /> M Certified Fee <br /> O <br /> O Return <br /> Receipt Fee Postmark <br /> 0 (Endorsement Required) Here <br /> Restricted 6elfvery Fee <br /> r1— <br /> Er (Endorsement Required) <br /> Er — - - <br /> rU TotWPostage' - - — — -- -- - -- <br /> '� nr ° Convenience Retailers LLC <br /> ra <br /> oireef,dpr 7vo:: PO BOX 59365 <br /> or PO Bou No. <br /> city,gine,zriii Schaumburg,IL 60159 <br /> :,, •,. <br /> ■ Complete items 1,2,and I Also complete <br /> item 4 if Restricted Delivery is desired. <br /> A. r ature <br /> ■ Print your name and address on the reverse X <br /> so that we can return the card to you. E3 Agent <br /> dssee <br /> ■ Attach this card to the back of the mail iece, ( ) C. Date of li <br /> e eiv by very <br /> print ame <br /> or on the frbht if space permits, } <br /> 1. Article Addressed to: . ! r� ` �f <br /> d different from item i? Yes <br /> If Y S,enter elivery address below: D No <br /> --�_ NO 212012 <br /> Convenience Retailers LL(PMRQN <br /> PO Box 59365 PERM <br /> Schaumburg IL 60159 <br /> Re: ,1469 Certified Mail ❑Express Mail <br /> E.Hammer NFA 13 Registered ❑Return Receipt for Merchandise <br /> - ❑Insured Mai! ❑C.O.R. <br /> 4. Restricted Delivery?(Extra Fee) <br /> 2. Article Number ❑yes <br /> (Transfer from service label) 7 011 2970 0003 9133 16 6 9 <br /> '—PS Form 3811, February 2004 Domestic Return Receipt <br /> 102595-02•M-1540; <br />