ORIGINAL
CLE~8
OFF!C~
JUN 302005
STATE OF
PoIIutjo~
Contro; BO~r~
1.
Article Addressed to:
6/16
/05
B
M.
AC
2005—066
Municipal
Bank
&
Trust
#1697
/
‘‘~
-
~B~6ceivéd by
(Pñnted £Jame)
/
C.
Dat
of Del
ery
//-~2~r~
~//~?‘~-“
~
D.
Is delivery address different from. Item 1? ‘0
Yes’
If
YES,
enter delivery address below:
0
No
P.O.
Box
146
Bourbonnais,
IL
60914—1046
2.
Artk
(T,a
PSFo~
3.
ServIce Type
~Q~rflfiedMall
o
Re9istered
o
Insured Mall
o
Express Mall
o
Return
Receipt for Merchandise
o
C.O.D.
4~Res~Dç~iy?fl~fra
Fee)
0
Yes
02595-02-M-1
540
a
Complete
items 1,
2, and 3. Also complete
item 4
if Restricted Delivery
is
desired.
a
Print your name and address on
the reverse
so that we
can return the card to you.
a
Attach this card to the back of the
mailpiece,
or on the front
ifspace permits.
I