ORIGINAL
N
Complete items
1, 2, and 3. Also complete
item 4
if Restricted
Delivery is desired.
N
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:
6~’16
/
05
B
M.
AC
2005—066
Ken*th-~B Nelson
Kankakee County State’s Attorney
450
East
Court
Street
Kankakee, IL 60901
REC~RVED
CLERK’S OFFICE
JUN
272005
STATE OF ILUNOJS
Poflutjo~
Control Board
D.
Is detvery
address different
from
item
1?
0
Yes
If YES,
enter delivery address below:
0
No
3.
Service
Type
~ertified
Mail
o
Registered
o
Insured Mail
4.
RestrIcted Delivery?
(Extra
Fee)
0
Yes
SENDER
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
A.
Signature
X4L
~‘Agent
0
Addressee
-~,
~(,Received
~Z~?//I’
-
by
(Printed Name)
#//~2e~~
.
C.
Date of Dehvery
i; ~,7g~-e’$~
2.
ArtIcle Number
(Transfer from service label)
7004
2890
0004
2307
1056
o
Express
Mail
o
Return
Receipt for Merchandise
o
C.O.D.
PS Form
3811,
February 2004
Domestic Return
Receipt
1 02595-02-M-1
540
I