~AL.
L
_____
•
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.
1.
Article Addressed to:
4
/
21
/
05
B
•
M.
PCB
2005—055,
058,
059
Village of Wauconda
101 North Main Street
Wauconda,
IL 60084
)~9cR,1c7ZI
R~C~1V~D
CLERK’S OFFICE
~1AY
032005
A
Signature
~~/)
(a~~eJ:~th~—
M
Agent
Addressee
by
(Printed Name)
C
Date of
Delivery
Joi~rnfRgc~k
D.
Is
delivery address different from Item 1?
0
Yes
If YES, enter delivery address below:
0
No
3.
ServIce
Type
‘ertifled
Mall
‘tI
~egistéred
0
Insured MaiL
4.
RestriCted Delivery?
(Extra
Fee)
o
Yes
O
Express Mall,
o
Return
Receipt for
Meröhandlse
0
C.O.D.
__________
2.
ArtIcle
Number
(rransfer from
ser.’lce
label)
7004 2890 0004 2296 4908
PS
Form
3811,
February 2004
DomestIc Return
Receipt
102595-o2-M-1540
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS
SECTION ON
DELIVERY
•
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.
1.
ArticloAddressedto:
4/22/05
PCB
2005—055,
058, 059
Village of Wauconda
302
S:lo.cum Lake Road
Waucondä,. IL 60084
2.
ArtIcle Number
(Transfer
from serrice
label)
B.M./
A..
Signatu
o
Agent
o
Addressee
~‘R
ved by
(PrintedName)
I ci
ate of
eliv~
P
D.
Is
delivery address different from item
1
Yes
If
YES, enter delivery address. below:
0
No
3.
S~vlce
Type
ertifled Mail
0
Express
Mail
Registered
D’Retum Receipt for Merohandise
0
Insured Mail
0
C.O.D.
4
Restricted
Delivery?
(Extra
Fee)
0
Yes
1
7004 2890 0004 2296 4822
PS Form
3811,
February 2004
Domestic Return
Receipt
102595-02-M-1540