1. page 1

 
SENDER
: COMPLETE THIS SECTION
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 mailpiece,
or on the front if space permits .
1 Article Addressed to :
5/3/07
B
.M.
PCB 2007-024
Jeffery W . Tock
Harrington & Tock
201 W . Springfield Avenue
Suite 601
P .O . 13ox 1550
I
Champaign, IL 61824-1550
2 . Article Number
(Transfer from service leben
7006 0100 0000
I\PS Form 3811, February 2004
Domestic Return Receipt
COMPLETE THIS SECTION ON DELIVERY
A. Signature
x
vim-.
B. Receive by Printed
Name)
1VO-To
/\j
Is delivery
address different from item I?
If YES,
enter delivery address below:
Ice Type
Iliad Mail
13 Express Mail
Registered
O Return Receipt for Merchandise
0 Insured Mall
0 C.O.D.
4
. Rest clad Delivery? (Extra Fee)
7374 7965
gent
Addressee
C. Date of Delive
RECEIVEDCLERK'S
OFFICE
MAY 1 8 2007
o Yes
0
Yes
102595-02-M-15401
ORIGINAL
Pollution
STATE OFControl
ILLINOIS
Board

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