•
    Complete items
    1, 2, and 3. Also complete
    tern
    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 Addressedto:
    4/21/05
    B.M.
    AC 2005—007
    Edward and Betty Jo Cain
    807 West Church Street
    Savoy,
    IL 61874
    RECEIVED
    CLERK’S OFFICE
    MAY.~022005
    B.
    Receive
    /~,;e~f
    d by
    (Printed Name)
    C.
    ate of Delive
    ~~((
    (~/)
    ~6.
    Is delivery a~dress
    different from item 1?
    0
    Yes
    If YES, enter delivery address
    below:
    3.
    Service
    Type
    ~Certifled Mail
    ti
    Registered
    0
    Express
    Mail
    0
    RetUrn Receiptfor Merchandise
    0
    Insured Mail
    0
    C.O.D.
    4.
    R~trinted
    Delivert,?
    (Extra Fee)
    A. Sig~ture
    x
    ~~~IZZf
    o
    Agent
    ~~ddressee
    /
    2.
    Artic
    (Trai
    PS
    For
    o
    Yes
    02595-02-M-l
    540

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