~i/~ll~A
    L
    REC~IV~D
    CLERK’S OFFICE
    MAY
    162005
    STATE OF ILLINOiS
    POII~tj~~
    Controj Board
    SENDER:
    COMPLETE THIS SECTION
    T~OPLETE
    THIS SECTION ON
    DELIVERY
    Complete items 1, 2,
    and 3. Also complete
    item 4 if Restricted
    Delivery is desired.
    •
    Print your name and address~onthe reverse
    so that we~can
    return the card to you.
    •
    Attach this card to the back of the m.ailpiece,
    or on the front if space permits.
    1.
    ArticleAddressedto:
    5/5/05
    AC 2005—059•~
    Dale & Carol Hartley
    9535
    Ii.
    Hwy.
    133
    Paris,
    IL 61944
    V
    4.
    Restricted
    Delivery?
    (ExtraFee)
    0
    Yes
    3.
    S9ylco Type
    ~Certified
    Mall
    0
    Express Mail
    o
    Registered
    0
    Return
    Receipt for Merchandise
    O
    Insured
    Mall
    0
    C.O.D.
    2.
    Aiticle Number
    eromse/ceabe
    7004
    2890 0004 23070882
    PS Form
    3811,
    February 2004
    Domestic Return
    Receipt
    I 02595-02-M-l540

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