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3110 LOMBARD AVE 2016-01-01 MF Import
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3110 LOMBARD AVE 2016-01-01 MF Import
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Last modified
2/17/2017 7:33:58 PM
Creation date
2/17/2017 7:33:44 PM
Metadata
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Template:
Address Document
Street Name
LOMBARD AVE
Street Number
3110
Imported From Microfiche
Yes
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` <br /> I <br /> � •SEN�ER:Camplote items i,2.3,and 4. <br /> P �� O t C �I_ a � Add your address in Ihe"RETURN TO"spaco <br /> V � 1 � on reverse. <br /> ^'=fPT FOR CERTIFIED NiAf'- � (CONSULT PPSTTAASTl�RC-0R FEES) <br /> :!,_,.,�_ � <br /> � L The fol �wing scnicc is rcGucs�ul(cl�cck anc). <br /> NO INSUflANCE COVEP�:uE PROVI�ED-� how to whom nnd datc dclivcrcd.................... _C <br /> 110T FOfl INTEflNATIONAL MNL <br /> (See Reaeisa) ❑ Show to wl�om,da1c,and addres oC delivcry.. ___G <br /> '�� r� -- � - � z.0 RESCRICTED DELTVLRY —G <br /> Qhr mnnn.l deliv�ry fee 8 eF.arg.d in addition m <br /> ��.�,w�� �'f�/J (he rcNrn rrtript f.�rJ <br /> �F5`��`lAv�-avc,`�i� TPTAL $-- <br /> ��tlrY-�-'C��`.�L��'.• 3.ABTiCI AO9PESSEDTO: <br /> �� � -�-���-�`�,� � . <br /> � I �,.�;,:��.�F�< <I c__ z <br /> �� � 9 J-C�t-2..� /CY�� <br /> �i � � I�SPEGIRLpeLNEHV <br /> ,' � {. . . a 1. T1'PE OF SENVICE: ABJ�La��BEfl <br /> _ � REETP.!CTE��ELIVERY fmf ❑0.EGt5TFJiFD ❑�NSUflEU J <br /> _ �i � ❑ ❑ �l�c� �// <br /> - ,� I c�OW'tOWr1UMF'.;' CEATIFIED C00 <br /> � c"'n :.UC�H�vEPE� � ❑p(pqES$ Wll <br /> ���i' w y - � ��-�-�---�� - - "- � �i m Alrra obtaln sl nature of addressee or agentj <br /> � .. s.in�xmnNon�.o,n[. � ( Y$ 9 <br /> - y :^:oao��a�ssar <br /> �p ;� � u[uvEav � I have recerved the arlicie deserihed above. <br /> � �o W siiir;vmvrimMasouaii -- - a SIGNATURE ❑ Addmsscc . ❑ Authorimd agcnt <br /> _� � � OELVENEONIIHRESiP�LiE m �/ <br /> o � L tIVf11Y � �/� /� _ <br /> � sfoviiow�+o6tonrrar,n -- 4 ;, �F/„ . .\ �(�. � '- <br /> s � O.r :pFJEINEP':Wi1N � 5. <br /> FiSIP'iC1Cr0'.UyCfiY 9 ���OFOELIVERY � POS�i'•'.K <br /> L ' m � <br /> ctALPOSTAGEANDFEES 5 � � � � ��� � ' <br /> � p d.AWFE55EE'SAOOflE55(Onlyj/rc�ursv� <br /> � -J';iMFflKOFlOATE . . . � `p <br /> ff <br /> I I ~ <br /> I I T T.UHABLETOOELIYER6EGIUSE 7aEMVLOMEE'S <br /> ._ �I i O IN�TIRLS <br /> I A Y <br /> - . f' �_... ..�a...+......:�.v.�..ss.s.�..a:.a. :m..c.Lzz�.�-._.v...-.s�n-..- _ <br />
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