L~IJN~

*

f~IE~aDER

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.

a

Attach this card to the back of the mailpiece,

or on the front if space permits.

1.

ArUcle

Addressed

to:

~

L.

~c

JO ~ U~)1

~fr+~ø~

A. 9gf~d

by

(1

se Print Clearly)

B.

Date of Delivery

tO)

0

Addressee

D.

I

delivery address different from

item 1?

0

Yes

If YES, enter delivery address below:

No

3.

Service Type

o

Certified

Mail

Express M

il

o

Registered

eceipt for Merchandise

o

Insured Mail

0

COD.

4.

Restricted Delivery?

(Extra

Fee)

0

Yes

2.

Article Number

(Co

y from a

tv/ce

labelj.

~

E~

~1°O’3

~

PS

Form

3811,

July 1999

Domestic Return

Receipt

1O2595-OO~vVO~2

RECEIVED

CLERK’S OFFICE

JUN

03

2005

STATE OF ILLINOIS

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