CLERKJ~IVED
S~p14
200s
~t
~~ILLINoJ~
0, Board
SENDER:
C0MPLET~THIS
SECTiON
COMPLETE
THIS SECTION
ON
DELIVERY
•
Complete items 1, 2, and 3. A’so 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.
S
Attach this card to the back of the mailpiece,
or on the front If space permits.
1.
NticleMdressedto:
9/1/2005
Bn
PCB 2004—205
Ronald DeSyllas
All States Painting,
Inc.
P.
0. Box
110
Alexander,
IL
62601
ORIGINAL
A
Signature
J~~)Z2&z
B,AeceWed by (Printed Name)
C.
Date of Deltvery
~e
0.
Is
deIive~y
address different from
tern
11
0
Yes
If
YES, enter delivery address below:
0
No
3.
Service Type
$
Certified MaIl
0
Express Mail
O
RegIstered
0
Return
Receipt
for Memhandlse
O
Insured Mail
7
COD.
4.
RestrIcted OelNe.y? (Extra
Fee)
0
Yes
2.
ArtIcle
Number
flansterf,omsen4cela~Q)4
2890 0004 2307 1650
PS
Form
3811,
February 2004
DomestIc Return Receipt
jo~$5a244jgjO