1. STATE OF ILLINOIS
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SENDER:
COMPLETE THIS
SECTION
CLERK’S
O~T’V”
NOV 10 2003
STATE OF ILLINOIS
.
~h!h’tIOfl-Centro!Board
~ Complete
items
1, 2,ahd 3. AIso.èomplete
.. :.•
- A~Sigt1~ture
~. ...
...;
. . ...
item4
if. Restricted
Delivery:isdesired.~
-.:
::~
. . :DA~iit.
~ Pnnt your name and
address on the reverse
~
D Addressee
so
that
we can
return
the cardto
you.
. . .
B. R~ei~ed~by
(Printed-Narne~)
Date
or
Delivery

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item
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. if YES, enter delivery address-below:
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Registered
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Return Receipt for Merchandise
Dinsurec Mail
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4
Restricted Delivery? (Extra
Fee)
0
Yes
2 Micle Number
~
7003 0500
0001
1630 5397
~
.
PS Form 381
~,August
2001
Domestic
Return
Receipt
102595-02 M 154t)
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NOV
102003
UNITED STATES POSTAL
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c4ntroi
Board
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~ Sender: Please pnnt yoUr.n~’me,address, and -ZIP+4 in this box-
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