CLERK~S
    OFACE
    JUL
    062005
    STATE OF ILLINOIS
    PoHut
    IOfl
    Control
    Boarcg
    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.
    ArticleAddressed to:
    6/16/05
    B .M.
    PCB
    2005—206
    Chris Probst
    1~-34-1-N~ZUtYth
    Street-
    —
    3.
    S~rvice
    Type
    ~~Certified
    Mail
    o
    Registered
    o
    Insured Mail
    4.
    Restricted
    Delivery?
    (&tra Fee)
    2.
    Article Number
    (Transfer from service label)
    PS Form
    3811,
    February 2004
    7004 2890 0004 2307
    1209
    Domestic Return
    Receipt
    o
    Express Mail
    o
    Return Receipt for Merchandise
    o
    C.O.D.
    0
    Yes
    4.
    Is deliveryaddress different
    If
    YES, enter
    delivery
    address
    102595-02-M-1 540

    Back to top