l~

Pmt

~~~&&ëte

i

4

if

s

rictéd Deliveiyis 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.

ArticleAddressedto:

5/19/05

B.M.

PCB 2005—109

Tom Difasjo

Village of Waterman

215 Adams Street

Waterman,

IL

60556

/

2.

Article

Number

I

(r,~f~from seriice/abeO

PS Form

3811,

February 2004

RECE

WED

CLERKS QFF~CE

ttlAY

312005

~TAT~OF ILUNOIS.

E

~A.S~ny

~

~JAgent

B.

R

ceived

byQ’P,inted Name)

C.

Dat~ofDelivery

0.

Is delivery address

different fthm item 1?

~EI

Yes

If YES, enter

delivery address below:

0

No

Po &x

/L.;-/

~os:s-~

-0/4/7

3.

Service Type

~CertIfied

MalI

0

Express Mall

o

Registered

0

Return

Receipt

for

Memhandise

o

Insured Mail

0

C.O.D.

4.

Restricted

Delivery?

(Extra Fee)

o

Yes

7004 2890 0004 2307 0967

Domestic Return

Receipt

102595-02-M-1

540

SENDER:

COMPLETE THIS

SECTION

•

Complete items

1,

2, and 3. Also complete

item 4 if Röstricted Deliveiy 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

/

19/05

B~.

N.

PCB 2005—109

Richard N.

Saines

Baker

& McKenzie

One Prudential Plaza

100 E. Randolph Drive

Chicago,

IL 60601

A

2.

Article Number

(rrarrsferfrom

sesvlce label)

7004

2890

0004 2307 0943

102595-02-M-1

540

COMPLETETHIS SECTION

ON DELIVERY

3.

S9rvlce Type

~ertlfiedMall

0

Express Mail

C

Registered

0

Retum

Receipt for Merthandise

0

Insured

Mall

0

C.O.D.

PS Form

3811,

February 2004

Domestic Return

Receipt