SENDER:
    COMPLETE THIS SECTION
    I
    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 theback.
    of
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    •or on the front
    if
    space pemlits.
    1.
    Article Addressed to:
    10/7/04
    B
    .
    M.
    PCB 2002—115
    William R. Kohihase
    Miller, Hall & Triggs
    Courmerce
    Bank
    Building
    416 Main Street,
    Suite 1125
    Peoria, IL 61602—1161
    R~C~
    CLERK’S OFFICE
    OCT
    1 ~200k
    OF ~LUNO1S
    Contr0~
    B0&d
    poItut~0~
    1.~.J~’iIüi
    ~
    A. Signa
    ‘
    ,
    0
    Agent
    ,
    0
    Addressee
    B.
    ~pei)~
    by~(Pdnted
    Name)
    ~
    (‘o’(
    C.
    Date of Delivery
    /
    Is delivery
    address different flvmzitem
    1?
    0
    Yes
    If YES, enter delivery
    address below;
    0
    No
    3.
    S,rviceType
    ~~.PertifledMail
    0. Registered
    o
    Insured
    Mail
    o
    Express
    Mail
    D.Retürn
    Receipt.for Merchandise
    o
    C.O.D.
    4.
    Restricted Delivery?
    (Extra
    Fee).
    0
    Yes
    2.
    Axticle.Nümber
    (rransferfr9rnser/Ice’!abe!)
    7002 0860 0004 9617 9977
    1
    PSForm
    3811,
    February
    2004
    boi~esticRetUrnRedeipt
    102595-02-M-1540

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