ED

I~L

~

____

~I

~

N

•

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 the

back of the mailpiece,

or on the front

if space permits.

1.

Article

Addressed to:

11/4/04

B.M.

PCB 2005—067

Ralph NcNabb

Village

of

Maywood

40 West Madison Street

Maywood, IL 60153

y~Received

by

(Printed

Name)

C.

Date

of

DeIiver~i

D.

Is

delivery add,sss

diffemnt

~mitem

1?

0

Yes

If YES, enter delivery

address below;

0

No

•

3.

Service-Type

9

Yes

4.

Restricted

Delivery?

(Extra

Fee).

2.

Article Number

~‘Transfer

from servici!abe9

7004 1160 0005 4124 9688

Oon~estic

RetUrn Receipt

102595-02-M-1540

NOV152004

TATE OF ILLINOIS

~

sign~pre,7

-

1.21

0

Agent

‘X

~

•

Ccmpje~

items

1,

2, and 3~

Also cor~i~te

A.

Sig

re

.

item

4 if Restricted Qelivery is

d~sjr~rj

-

--

0

Agent

•

Pnnt your name and addre~

on the reverse

9

~

so that we can return the

card to YOU.

B~R~ceived

by(~fi~teriNàm

C. -Date

Delivery

•

to

the back of the mallp,ece

/1

I

-

0.. is defwery address

d~erent

~

ftem 1?

Yes

/

~

:;:3

If YES, enter delivery address

below:

ii

No

~ertffied

Mel!

~

Express Mali

0

Insured Mail

-

0

C.O.0.

Registered

0

Return.

Rece?~t

for Merchandise

4

Restn~~

Delrvery~(~ra

Fee)

9

~

4124 9695

PS ~orm

3811,

Febnja1y

2004

-

Domestic ~

ill

PS Form

3811,

February 2004