~
    m
    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.
    Jackson County State’s Attorney
    Office
    1.
    ArticleAddressedto:
    3/17/05
    B.N.
    AC 2005—048
    Daniel Brenner
    Jackson County Courthouse
    Murphysboro, IL 62966
    R E
    CE ~V~
    D
    CLERK’S OFFICE
    MAR
    252005
    STATE OF iLLI1’~O;~
    Pollution Control BO8rd
    0
    Yes
    A.
    ~re
    )4~2a.~~—~’Addressee
    y~eceived
    ~‘
    (Printed Name)
    C.
    Date of Delivery
    /1).
    0. Is deliveryradd
    ess
    different from
    tern
    1?
    0
    Yes
    If YES, enter delivery address
    below:
    .0
    No
    3.
    S9rvice
    Type
    ertifled
    M&I
    0
    Express
    Mail
    -
    .
    Registered
    0
    Return
    Receipt fe~e~handise
    0
    Insured
    Mail
    ~.
    C~O.D;
    4.
    Restricted Delivery?
    (Extra Fee)
    2.
    Article
    Number
    •
    (Tranâferfromseri4ce/abe))
    7004
    2890
    0004
    2296 1051
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    •
    102595-o2-M-154ô

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