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.
•
Attach this card to the
back of the mailpiece,
or on
the front if space permits.
1.
ArticleAddressedto:
8/18/05
B.M.
PCB
2005—148
Maria
S. Pugliese
Baker
& McKenzie
One Prudential Plaza
100 F. Randolph Drive
Chicago,
IL
60601
RECEWEr
CLEA V’S
OFFICE
ORIGIN,4
AUG
STATE OF ILLIs~~Uft
pollution
controt
1o~
COMPLETE THIS SECTION ON DELIVERY
A.
Signature
x’~v
-
C
Addressee
B.
eived
by
(Printed
Name)
C.
Date of Delivery
tAJ,?il,~c
AUG
2
D.
Is delivery address different horn
item
I?
If YES, enter delivery address below:
0
No
3.
SeMce Type
~ertifted
Mail
0
Express Mail
fl
Registered
0
Return
Receipt for Merchandise
C
Insured Mail
0
COD.
2.
ArticleNumber
(Transfer from
serilce
label)
7004
2890
0004
2307
1605
4.
Restricted
Delivery? (Extra
Fee)
9
Yes
PS Form
3811,
February
2004
Domestic Return
Receipt
102505-02-M.1 540