CLEF~K’S
    OFFICE
    JAN
    31
    2005
    STATE OF ILLINOIS
    PogIu~j0~
    Control Board
    A.
    X
    e
    ~
    ~
    ~
    Addressee
    B.
    ~
    Received by
    (Printed
    Name,)
    C.
    Date of
    Delivery
    ~
    ,~
    K
    D.
    Is delivery address different from item
    1?
    0
    Y,/
    If YES, enter
    delivery address below:
    0
    No
    3.
    Service Type
    o
    Certified Mail
    0
    Express Mail
    o
    Registered
    0
    Return
    Receipt
    for
    Merchandise
    o
    Insured Mail
    0
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    ORIGINAL
    FENDER
    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:
    1/20/05
    B.M.
    AC
    2005—036
    Sheri L. Carey
    County of Sangamon
    2501 North Dirksen Parkway
    Springfield,
    IL 62702
    2.
    Article Number
    (Transfer
    from sen/ice label)
    7004 0750 0004 3960
    2557
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-1540

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