OR/GINA L
JUN
13
2005
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 ofthe mailpiece,
or on the front if space permits.
Willie Doucher
1207 Ellis Street
______________________________
Urbana,
IL 61801
0
Return Receipt
for Merchandise
0
Insured
Mail
0
C.O.D.
2.
Article Number
4.
RestrIcted Delivery?
(Extra
Fee)
0
Yes
Mis
/
A.
Signature
,~Agent
0
Addressee
0.
Is delivery address different from item 1?
0
Yes
If YES, enter delivery address below:
0
No