REC~V~D
    CLERK’S OFFICE
    ~
    ~
    SENDER:
    COMPLETE THIS SECTION
    •
    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 mailpiece,
    or on the front if space permits.
    1.
    Article
    Addressed to:
    3
    /
    17
    /
    05
    B
    .
    M.
    PCB
    2OO5~159
    Julie Fruendt
    150 E.
    Station Street
    St.
    Anne,
    IL 60964
    2.
    Artic~
    (rran~
    S
    PS Forli
    X
    C
    Addressee
    B.
    R
    ceived
    by
    (Printed Name)
    C.
    pate ofDelivery
    D.
    Is delivery
    address different from
    item
    1?
    0
    Yes
    If YES, enter delivery address below:-
    0
    No
    3~
    Service
    Type
    ~ertified
    Mail
    0
    Express Mail
    D
    Registered
    0
    Return Receipt for Merchandise
    o
    Insured Mail
    0
    C.O.D~
    4~Restridted.DetWenr?~xt
    t~F~e)
    0 Vé~
    12595-02-M-1
    540

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