RECEIVED
    CLERK’S
    OFFICE
    JUL
    292005
    STATE OF ILLINOiS
    Polfunon Controj Board
    SENDER:
    COMPLETE
    THIS SECTION
    COMPLETE THIS SECTION ON
    DELIVERY
    U
    Complete items
    1,2, and 3. Also complete
    item 4 if Restricted Delivejy is desire~i
    •
    Print your name and address orfthe reverse
    so that
    we canreturn the card to you.
    U
    Attach this card to the back of the mailpiece,
    or on the front if space permits.
    ORIGINAL
    A. S~natur~
    X
    DAgent
    .2
    0
    Addressee
    1.
    MicleAddressedto:
    7/21/05
    B.M.
    PCB 2005—013
    Katina Maglaya
    617 Devon Avenue
    Park Ridge,
    IL 60068
    B.
    Received by (f~n7ed
    Name)
    C.
    Date of Delivery
    .7
    delivery address different from
    item 1?
    0
    Yes
    If
    YES, enter delivery address below:
    C No
    ervice Type
    r
    edified Mail
    0
    Express Mail
    RegIstered
    0
    Return
    Receipt tO, Merchandise
    C Insured Mail
    0
    coD.
    4.
    Restricted
    Delivery? (Extra
    Fee)
    C Yes
    2.
    jAiticle
    Number
    (rranster from service label)
    7004
    2890
    0004
    2307
    1469
    PS
    Form
    3811,
    February 2004
    Domestic Return
    Receipt
    102595.02.M.l 540

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