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 thö reverse
    so that we can return the card to you.
    •
    Attach this.card to the back of the màilpiece,
    or on the front if space permits.
    1.
    ArticleAddressedto:
    7/22/04
    B.M.
    PCB
    2004—142
    Charles Thomas Sewell
    Strom, Sewell, Larson & Popp
    215 South State Street
    Belvidere, IL 61008
    3.
    S2rvice Type
    ~4ertifled
    Mail
    ~ti
    Registered
    I
    0
    Insured
    Mail
    0
    Express Mall
    o
    Return
    Receipt for Merchandise
    o
    C.O.D.
    4
    RestrIcted Delivery?
    (Extra Fee)
    0
    Yes
    •2.
    Article
    Number.
    .
    .
    ,.
    ..
    (Transfer from service label)
    7702
    08600004
    9618
    4810
    PS
    Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-1 540
    CLERV~,
    AUG
    0c1
    D.
    rs
    deflv5ry
    address different
    from
    item 1?~0
    Yes
    if YES, enter delivery address below:
    No

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