SENDER:
COMPLETE THIS SECTION
I
Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired~
U Ptj~you~name and address on the reverse
s~~twe can return the card to you.
• At~hthis card to the back of the mäilpiece,
•or ~the front if space permits.
1. ArtI~Addressed to:.
7
/ 22/04 B • M.
AC 404—085
Mich~~~lLeeSchenck
1239 Sunset Drive
East Peoria, IL 61611
•D Express Mail
o Return Receipt for Merchandise
o C.O.D.
4. RestrIcted Delivery?
(Extra
Fee)
0 yeS
.2. ArticleNumber
/
~rransfer
from serlice label)
70~022030 0004 5523 9064
~,
PS Form 3811, February 2004
DomeStiâ Return Receipt
102595-02.M-15401
CLERK’S OFFICE
AUG
2 2004
STATE OF ILLINOIS
PoIlut~onControl Board
I
3. ServIce Type
ertifled Mall
o Registered
o Insured Mail