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ON ON DELIVERY <br /> SECTION:'SENDER: COMPLETE THIS <br /> ■ Complete items 1,2,and 3.Also complete A. Sign <br /> ❑Agent <br /> item 4 if Restricted Delivery is desired. X ,addressee <br /> ■ Print your name and address on the reverse <br /> t of Delivery <br /> so that can turn the card to you. B. ace! ( n <br /> ■ Attach iAcehlof the mailplece, tf <br /> or on the Tr6nt if space pe its. r D e i t? ❑Yes <br /> 1. Article Addressed to: f ,enter delivery address below: 13 No <br /> NU V 13 2069 <br /> -'Udnwenience Retailers LLC OvIROWANT�AENL � <br /> P.17 Box 59365 usllcf <br /> Schaumburg, IL 60159 3 <br /> 1469 E. Hammer Ln.—NOR i Mall ❑ less Mall <br /> ❑Registered ❑Return Receipt for Merchandise <br /> ❑Insured'Mail ❑C.O.D. <br /> 4. Restricted Delivery?(Extra Fee) ❑Yes <br /> 2. Article Number _ 7008 1830 0004 8693 4081 <br /> (Transfer from service label) <br /> PS Form 3811,February 2004 Domestic Return Receipt 10259502-M-1540 <br />