ORIGINAL
    SENDER:
    CflMPLETE
    THIS SECTIflN
    •
    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.
    Afficle Addressed to:
    7/21/05
    B. M.
    PCB 2003—222
    Richard
    H.
    Saines
    Baker
    & McKenzie
    0n~Prudential Plaza
    100
    E.
    Randolph Drive
    Chicago,
    IL 60601
    RECEIVED
    CLERKS OFEt
    MiG
    I) ~2005
    STATE OF
    LUNOtS
    poUutiOfl control Board
    Cc3MPL~TE
    THIS SECTI~NJN DELIVERY
    I
    A.
    Signature
    ~
    BAey~1 by
    (Punted
    Name)
    c.
    Date of
    lively
    ~/~°
    D
    Is delivery address different from
    item 1?
    Yes
    If
    YES, enter delivery addres~el4:~
    ~
    7005
    3.
    Service Type
    ‘~,~Certified
    Mail
    0
    Express Mail
    O
    RegIstered
    0
    Return
    Receipt for Merchandise
    o
    Insured Mail
    0
    coo.
    flYes
    2.
    Article
    (Transit
    PS
    Form
    95-02-M-1540

    Back to top