ORIGINAL

CLE~8

OFF!C~

JUN 302005

STATE OF

PoIIutjo~

Contro; BO~r~

1.

Article Addressed to:

6/16

/05

B

M.

AC

2005—066

Municipal

Bank

&

Trust

#1697

/

‘‘~

-

~B~6ceivéd by

(Pñnted £Jame)

/

C.

Dat

of Del

ery

//-~2~r~

~//~?‘~-“

~

D.

Is delivery address different from. Item 1? ‘0

Yes’

If

YES,

enter delivery address below:

0

No

P.O.

Box

146

Bourbonnais,

IL

60914—1046

2.

Artk

(T,a

PSFo~

3.

ServIce Type

~Q~rflfiedMall

o

Re9istered

o

Insured Mall

o

Express Mall

o

Return

Receipt for Merchandise

o

C.O.D.

4~Res~Dç~iy?fl~fra

Fee)

0

Yes

02595-02-M-1

540

a

Complete

items 1,

2, and 3. Also complete

item 4

if Restricted Delivery

is

desired.

a

Print your name and address on

the reverse

so that we

can return the card to you.

a

Attach this card to the back of the

mailpiece,

or on the front

ifspace permits.

I