ORIGANft~.
    ‘6~k~K~
    OFFW~E
    ~UG
    2 32005
    STATE OF
    po~tut~Ofl
    C~
    SENDER:
    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 rnailpiece,
    or o~pefront if space permits.
    1.
    Artl~dressedto:
    8118/05
    B.M.
    AC.it.5—077
    Hu~~carrard
    14#4~North2040th Street
    Flat~~~~
    Rock,
    IL 62427
    /
    B.
    ~ceived by
    (PrintS
    Name)
    C~
    Date of Delivery
    /
    “a
    Is
    delivery address different from
    toni 1?
    0
    Yes
    If Y~S.
    enter delivery
    address below:
    C
    No
    3.
    ServIce Type
    ifled Mail
    0
    Express Mail
    Re~stered
    0
    Return Receipt
    for Merchandise
    C
    Insured Mail
    0
    COD.
    4.
    Restricted Delivery?
    (Extra
    Pee)
    2.
    ArtIcle Number
    (flanster from
    service
    Jabs!)
    7004
    2890
    0004
    2307
    1568
    Si~a~ure
    /2 /~/~
    c~’niø~,
    (
    .(/W1~
    0
    Addre~ee
    C
    Yes
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    1025ti5-02-M-1540

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