SENDER:
COMPLETE THIS SECTION
•
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.
a
Attach this card to the back of the mailpiece,
or on the front if space permits.
1.
ArticleAddressedto:
6/16/05
B.N.
PCB 2005—063
Gary L. Plotnick,
Gagen
A.S
are
X
~J~JL’U
Agent
0
Addressee
B.
Re~Je~4d
~
(~iq~pç1
N
me)
4
fl
C.ate of Delivery
U L~Y
D.
l~delivery
address different fràmitem
1?
0
Yes
If YES, enter delivery address below:
0
No
North Rockwell
222
N. LaSalle Street,
#1910
Chicago,
IL 60601
3.
ServIce
Type
~~rtlfied
Mall
gj
Registered
0
Express
Mail
0
Return
Receipt
for Merchandise
0
Insured Mail
0
0.0.0.
4.
RestrIcted Delivery?
(Extra
Fee)
0
Yes
RECE1V~
CLEPK’$
C)FP~C~
JUN 27
2005
STATE OF ~WNO~
ORIGINAL
COMPLETTKI~
I—
a
Complete items
1, 2, and 3. Also complete
A.
~iiMure
item 4 if Restricted
Delivery is desired.
x
~
0
Agent
0
Addressee
•
Print your name and
address on the reverse
so that we can return the card to YOU.
B.
Received by
(P
d
e)
C.
Date of Delivery
•
Attach this card to the
backof the mailpiece,
‘0
or on the front
if space permits.
D.
Is delive
addre
different from item 1?
0
Yes
1.
Article Addressed to:
6
/
16
/
05
B
If YES, enter delivery address below:
0
No
PCB 2005—063
David Ballinger
Horwood, Marcus & Berk
180 N.
LaSalle Street,
Ste.
370
3.
SeoriceTyP~
Chicago,
IL 60601
rtified Mail
0
Express Mail
Registered
0
Return Receipt for Merchandise
0
Insured Mail
0
C.O.D.
4.
Restricted
Delivery?
(Extra Fee)
0
Yes
2.
Article Number
(Transfer from
service
label)
/
2.
Article
Number
(rransferfromservlce/abeO
7004 2890 0004 2307 1162
PS Form 3811,
February
2004
Domestic Return
Receipt
102595-02-M-1540
