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P 321 093 383 <br /> e MAY 171996 <br /> uA <br /> Receipt for Certified Dail <br /> MARGARET EKHOLM <br /> 2210 HUBBARD RD <br /> STERLING IL 60181-9693 <br /> Postage $ <br /> Cabled Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> LO <br /> Return Receipt Showing to <br /> Wham&Data Delivered <br /> = Rerun Receipt 5ho tq to Whom, <br /> p$ Irate,&addressee's Address <br /> C TOTAL Postage&Fees t$ <br /> to <br /> M Postmark or Date <br /> 0 <br /> U- <br /> 4D TVIDII f 7 �� also wish to receive the <br /> rn s andlor 2 ora ervices. <br /> y o items 3,and 4a& fDll wings ices lfor an extra <br /> 0 • print your name and address an revers m so t t we cIre <br /> + ` <br /> 7 re n this card to you. <br /> m <br /> • Attach this form to the front the m ,or o ac if pace 1. ❑ Ask S A re S y <br /> does not permit. <br /> t •`Write"Return REceipt Reques d"o t arti a number. 2 ❑ Restricted Delivery a <br /> " •The Return Receipt will show t wh a le' d ivered d the date m <br /> c delivered. Consult postmaster for fee. cc <br /> m <br /> 3. Article Addressed to: i le Nu b r <br /> c <br /> >o � <br /> E MARGARET EKHOLM 4b. 5ervice Type <br /> 0 2210 HUBBARD RD El Registered ❑ Insureds <br /> STERLING IL 60181-9693 Certified ❑ COD,..,i� <br /> u �� <br /> j Express Mail r,-] Return Rec or +gi ' <br /> erchsndi 0 <br /> b 7. Date of Delivery i <br /> z 5. n tore {Addressee] 8. Addr ee's Addres IOn ted <br /> F Si� and f <br /> LL, <br /> IXI6. Signatur Agent) <br /> 3 <br /> >' PS Form 3011, December 1991 *U.S.GPO:1893-352-714 DO"E TIC RETURN RECEIPT <br /> 2 <br />