cindy denise smith - home | oklahoma insurance department · sender: complete this section ....

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Page 1: Cindy Denise Smith - Home | Oklahoma Insurance Department · SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY. j • Complete items 1, 2. and 3. Also complete item
Page 2: Cindy Denise Smith - Home | Oklahoma Insurance Department · SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY. j • Complete items 1, 2. and 3. Also complete item
Page 3: Cindy Denise Smith - Home | Oklahoma Insurance Department · SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY. j • Complete items 1, 2. and 3. Also complete item
Page 4: Cindy Denise Smith - Home | Oklahoma Insurance Department · SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY. j • Complete items 1, 2. and 3. Also complete item

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)

I-----~ Restricted De~Vf'rv F....

(Endorsement r

"D~~,/~I;,:,t,h , ~,'\)~,«-~ Total PostaG 404 E. Juanl ,~" enlTo Wynnewood, OK 73098-5825

~~;~;~. tl-l>OlR?rD} s ltvnR(rntJ~~~=== C//Y.stare,ZJP·...-CP ,)\G{ min. btl:1. '

Page 5: Cindy Denise Smith - Home | Oklahoma Insurance Department · SENDER: COMPLETE THIS SECTION . COMPLETE THIS SECTION ON DELIVERY. j • Complete items 1, 2. and 3. Also complete item

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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