SENDER:
    COMPLETE THIS SECTION
    •
    Complete items
    1,
    2, and & Also complete
    item
    4
    if
    Restricted
    Delivery is desired.
    •
    Pnnt your name and
    address on the reverse
    so that we can return the card tO you.
    •
    Attach this áard to the back of the mailpiece;
    or on the front if space permits.
    1.
    Article Addressed
    to:
    10/7/04
    B
    PCB 1997—119
    V
    Thomas Davis
    2610 Sheridan Road
    Zion,
    IL 60099
    CLER~cs
    OFFfC~
    OCT 29
    2004
    STATE OF
    ILLH\JOjS
    PoHutjç~j-~
    Control Board
    0
    Agent
    A
    ~
    l~~dressee
    I
    -
    .
    B.
    Received by
    (Pnnte~Qame)
    C...Datepf
    Delivery
    D.. Is delivery
    address differenf~iem1?
    Yes
    If YES, enter delivery address below:
    0
    No
    3.
    Service Type
    ~c~ertifiedMafl
    P
    Registered
    0
    Insured Mall
    O
    Express
    Mail
    0
    Return
    Receipt for Merbhandise
    Dc.o.o..
    4.
    Restricted
    Delivery?
    (Extm
    Fee)
    2.
    ArtIcle Number
    ..
    (Transferfromsen,Icèlabe!)
    7002
    PS Form
    3811,
    FebrUary 2004
    08600004
    Domestic
    RetUrn
    9619
    8206
    Receipt
    1O259~-O2’M-154O
    DYes

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