SENDER:
COMPLETE THIS SECTION
•
Complete items
1,
2, and & Also complete
item
4
if
Restricted
Delivery is desired.
•
Pnnt your name and
address on the reverse
so that we can return the card tO you.
•
Attach this áard to the back of the mailpiece;
or on the front if space permits.
1.
Article Addressed
to:
10/7/04
B
PCB 1997—119
V
Thomas Davis
2610 Sheridan Road
Zion,
IL 60099
CLER~cs
OFFfC~
OCT 29
2004
STATE OF
ILLH\JOjS
PoHutjç~j-~
Control Board
0
Agent
A
~
l~~dressee
I
-
.
B.
Received by
(Pnnte~Qame)
C...Datepf
Delivery
D.. Is delivery
address differenf~iem1?
Yes
If YES, enter delivery address below:
0
No
3.
Service Type
~c~ertifiedMafl
P
Registered
0
Insured Mall
O
Express
Mail
0
Return
Receipt for Merbhandise
Dc.o.o..
4.
Restricted
Delivery?
(Extm
Fee)
2.
ArtIcle Number
..
(Transferfromsen,Icèlabe!)
7002
PS Form
3811,
FebrUary 2004
08600004
Domestic
RetUrn
9619
8206
Receipt
1O259~-O2’M-154O
DYes