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 caiti tO~theback of the mailpiece,
    or on the front if space permits.
    1.
    ArticleAddressed
    to:
    7/8/04
    B.M.
    AC 2004—056
    Jerry Hat~~y
    517
    S. Oakwo~d
    Oakwood, IL
    A. Signature
    /7
    /~1
    DAgent
    D Addressee
    ~ce~2~y
    ~
    C
    Date of Delivery
    .
    ~
    D.
    Is delivery address
    different
    from
    item ~
    It YES, enter delivery address below:
    0
    No
    62~
    -~(24~
    3.
    Service
    Type
    ~Certi~ed
    Mail
    o
    Registered
    o
    Insured
    Mail
    4.
    Restricted
    Delivery?
    (Ext,a Fee)
    0
    Yes
    2.
    Artic
    (Than
    PS
    Fon
    ~g~pz~ss
    Mail
    o
    Return
    Receipt for Merchandise
    0
    0.0.0.
    2595-02-M-1540

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