OCT 312005

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:

10/20/05 B .M.

PCB 2005—49

Morton F. Dorothy

2413 E. Illinois

Urbana, IL 61801

STATE OF ILLINOIS

COMPLETE THIS SECTION ON tEL/VERY

~eived

b Please Print c any) B. Date of Deliv ery

C. Signature

0 Agent

_____________

________

~ddressee

Is delivery address different t~mitem 1? 0 Yes

It YES, enter delivery address below:

0 No

3. Service Type

~1

certified Mail

Registered

0 Express Mail

0

Return

Receipt

for

Merchandise

0 Insured Mail

0 coD.

4. Restricted Delivery?

(Extra

Fee)

0 Yes

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:

10/20105

B .M.

PCB 2005—049

• Thomas G. Safley

Hodge Dwyer Zeman

3150 Roland Avenue

Post Office Box 5776

Springfield, IL 62705—5776

C. Signature

—

0 Addressee

D. s delivery address different from item ~? 0 Yes

If YES, enter delivery address below:

0 No

3. Service Type

ertified Mail

0 Express Mail

Registered

0 Return Receipt for Merchandise

0 Insured Mail

0 coo.

flfl!.r’ip~1

RECEIVED

U N I

CLERK’S OFFICE

x

V

2. Article Number

(copy

from service

label)

7005 1160 0002 2069 4067

PS Form 3811, July 1&99

+

Domestic Return Receipt

102595-9gM-I789

COMPLETE THIS SECTION ON DELIVERY

A. Received by (Please Print Clearly)

Ur~~

Lee

B, Date of Delivery

.7

I

0 Agent

2. Article Number (Copy

from

serv/ce label)

7005 1160 0002 2069 4050

4. Restricted Delivery?

(Extra

Fee)

0 Yes

PS Form 3811, July 1999

Dom~sticReturn Receipt