U
Complete items 1, 2, and 3. Also
complete
item
4 if Restricted Delivery is
desired.
U
Print your name and address on the reverse
so that we can return the card to you.
U
Attach this card to the back of the
mailpiece,
V
or on the front if space permits.
1.
ArticleAddressedto:
10/21/04
B.M.
PCB 2004—164
Ms. Karen Grandt
The Fields
of Long Grove Home
Owner’
s
Association
4624 RFD
Long Grove, IL 60047
CW~OE~
NOV
012004
STAT~EIUlM(.~c.
A. ,S~gnature
v~
Agent
-
0
Addressee
B.
calved
y
(P
dName)
jC.
Date of Delivery
D.
Is delivery
address
different from
item
1?
0
Yes
It YES, enter deliveryaddress
below:
0
No
3.
Service
Type
~~Certifled
Mail
o
Registered
0
Express
Mail
0
Return
Receiptfor Merchandise
o
Insured Mail
.0
C.O.D.
4~
Restricted
Delivery?
(ExtraFee)
DYes
2~
Article Number
(Transferfrom service Iabel)
7004
1160
0005
4126
4001
PS Form
3811,
February 2004
Domestic Return Receipt
1o2~95-O2-M-1~4O
Suite
3800
6060~
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS SECTiON ON DELIVERY
U
Complete items 1, 2, and 3. Also complete
item
4 if Restricted
Delivery is
desired
U
Print your name and address on
the reverse
so that we
can
return the card to you.
U
Attach this card to theback-ofthe.rnailpiece,
or on the front if space pernii~
Agent
1.
ArtIcle Addressed to:
10
/
21
PCB 20G4-464
Brendan T. McMahon
One~Prudential Plaza
130 E. Randolph Str
Chicago,
IL
2.
Article
Number
(Transfer from service
label)
/
7004
1..
PSForrn~38i
1,
February 2004: