ORIGINAL
    SENDER:.COMPLETE THIS SECTION
    • 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.
    U
    Attach this card to the back of the mailpiece,
    or on the front if space permits.
    1. Article Addressed to:
    1
    /
    6/05
    B M.
    AC 2005—036
    Sheri L. Carey
    Assistant State’s Attorney
    EC
    V~ D
    CLERK’S
    OFFiCE
    JAN ~~2O~5
    STATE OF
    ILL~NO~S
    PoUution Controi So~ird
    COMPLETE THIS SECTION ON DEL!VERY
    A. Signature
    x
    9)2e~t~y
    ~&~‘i
    ~
    ~
    2~ssee
    B. Received’bY
    (Printed Name)
    C. Date of Delivery
    D. Is delivery address different from item 1?
    /-‘V
    0 Yds
    If YES, enter delivery address below:
    0 No
    3. Se~iceType
    ~~ertified Mail
    ~tJRegistered
    0 Insured Mail
    4. Restricted Delivery?
    (Extra Fee)
    SENDER
    COMPLETE THIS SECTION
    • 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.
    U
    Attach this card to the back of the mailpiece,
    or on the front if space permits.
    1. ArticleAddressedto: 1/6/05 B.M.
    AC 2005—036
    Leland Cole
    6408
    Reinder
    A. Si~n~4~e
    ~
    .0 Agent
    0 Addressee.
    B~Received by
    (Prin
    ~
    of Delivery
    0. Is delivery address different fromitem 1? 0 Yes
    If YES, enter delivery address below:
    0 No
    2~Article Number
    (fransfer from service label)
    PS Form 3811, February 2004
    .3. S~p/iceType
    ‘~..Qertif
    ledMail
    IJ Registered
    0
    Insured Mail
    o Express Mail
    o
    Return ReceiptforMerchandise
    o
    C.O.D.
    Sangamon County
    2501 North Dirksen Parkway
    Springfield, IL 62702
    2. Article Number
    (rransferfromservicelabel)
    7004 0750
    0004 3960 2434
    PS Form 3811, February 2004
    Domestic Return Receipt
    -
    o
    Express Mail
    o Return Receipt for Merchandise
    o C.O.D.
    __________
    0 Yes
    I
    02595-02-M-1540
    Springfield, IL 62707
    4. Restricted Delivery?
    (Extra Fee)
    7004 0750 0004 3960 2366
    0 Yes
    Domestic..Return Receipt
    102595-02-M-1540

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