NOV
    0,1
    2004
    STATE OF iLLINOIS
    PoIi~tj~~
    Control Board
    SENDER:
    COMPLETE THIS SECTION
    a
    Complete items 1,
    2, and & Also complete
    item 4ff Restiicted Delivery is desired.
    a
    Print your name and address on thereverse
    so that we can return the card tóyou.
    a
    Attach this áard to the back of the’ mailpiece~
    or on thefront if space permits.
    ,~Henry, IL 61537
    1.
    ArticleAddressed.tó:
    10/21/04
    B.M.
    AC 2004—032~~
    Eric
    S. Swà~tz
    611 Second~Street
    P.O. Box 174
    A.
    ~
    Addressee
    B.
    Received by
    (Printed Nàme~)
    C~..Dte
    of
    elivery
    E~
    ~.
    ~
    D.
    Is
    delivery address different from
    item 1?
    0
    Yes
    If
    YES, enter delivery address
    below:
    0
    No
    3.
    Service
    Type
    ‘~Certified
    Mail
    o
    Registered
    o
    Insured Mail
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    0
    Yes
    /
    O
    Express Mail
    O
    Return Receipt for Merbhandi’se
    DC.O.D.
    2.
    Article
    Number
    PS
    (rransferfrom•serlicélabeO
    7004
    Form
    3811,
    February 2004
    1160
    DomestIc
    0005
    Return
    4126
    3936
    Receipt
    lo259~-o2~M-l54o

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