SENDER
    COMPLETE THIS SECTION
    E CE
    V ED
    CLERK’S OFFICE
    JAN
    2
    1
    2005
    STATE OF
    ILLINOIS
    PoHut~onControl Board
    •
    Complete items 1,
    2, and 3. Also complete
    item
    4 if Restricted
    Delivery is desired.
    a
    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.
    ArticleAddressedto:
    1/6/05
    B.M.
    AC
    2005—039
    Scott Rueter
    /
    Agent
    ~-i/L)
    0
    Addressee
    ~/~eceived
    by
    (Printed Name)
    I
    c.
    D~e
    of/Delivery
    ((It,
    ~
    D.
    Is delivery address different from
    item 1?
    0
    Yes
    If YES, enter delivery address below:
    ~
    No
    Macon County State’s Attorney
    253 East Wood Street
    Decatur,
    IL 62523
    2.
    Article Number
    (Transfer
    from sen/ice label)
    3.
    Service Type
    ‘~Ø~ertified
    Mail
    tJ
    Registered
    0
    Express Mail
    0
    Return
    Receipt for Merchandise
    0
    Insured Mail
    0
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra Fee)
    7004
    0750
    0004
    3960
    2335
    0
    Yes
    PS
    Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595-02-M-1540

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