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