cindy denise smith - home | oklahoma insurance department · sender: complete this section ....
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U.S. Postal Service'M CERTIFIED MAIL,., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided)
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certlfled Fee
RelUm Receipt Fee (EIldorsemenl Required)
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(Endorsement r
"D~~,/~I;,:,t,h , ~,'\)~,«-~ Total PostaG 404 E. Juanl ,~" enlTo Wynnewood, OK 73098-5825
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COMPLETE THIS SECTION ON DELIVERYSENDER: COMPLETE THIS SECTION
j • Complete items 1, 2. and 3. Also complete item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse so that we can return the card to you.
• Attach this card to the back of the mai~~~l or on the front if space pe . Ktl:tlvED
1. Article Addressed to:
Pft 18 20Cindy Denise Smith
404 E. Juanita St. Division Wynnewood, OK 73098-5825
3. Service Type rtified Mail 0 Express Mail ll- 3-Dis lKtnJC0r'J o Registered 0 Return Receipt for Merchandise CJ c· }-, o Insured Mail 0 C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Number (Transfer from service label) 7008 1830 0003 9410 8215
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 •
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