A

OC~192005

sWE9j~~ta

SENDER:

COMPLETE THIS SECTION

S

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.

S Attach this card to the back of the mailpiece,

or on the front if space

permits.

1.

A,tlcleMdressedto:

10/6/05

B.M.

AC 2005—002

Lester Smith

3913 Upper Salem Road

A.

X

Sig

,._T7

/~P2/mfld

7~’

—~),‘7y7(~tAddressee

B. ~jeceijoaby( flq~4)~Jaz~4)

-

C. Date ot DeIlvo~y

0. Is do Wow afidross different from Item I? EJ Yes

If YES, enter delivety address below:

C No

2.

ArtIcle Number

~fl?ansi~rhum saMba IabeO

3c sy~ice1~pe

~certfflod Mail

C Registered

C insured Mali

7005 1160 0002 2069

3695

o Express Mail

C Return Receipt for Merchandise

o D.O.D.

OR\GINAL

Metropolis, IL 62960

4.

Resticted Delivo,y? (Extra Fee)

C Yes

PS

Form

3811, February 2004

Domestic Return Receipt

102595.02.M.1540