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. ArticieAddressed o :

12/15/05 B .M.

PCB 20028

Curtis'

*

Martin

S

haw

$

Jartin

123

SobE4h

10th Street

Suite 302

P .O

. Box 1789

Mt

. Vernon,

IL 62864

ORIGINAL

COMPLETE THIS SECTION ON DELIVERY

A. Signature

~,~se

Crvice Type

pycertited Mail

0

~El Registered

0 Return Receipt for Merchandise

El Insured Mail

C) C.O.D.

4. Restricted Delivery? (Extra Fee)

2. Article Number

(TransferhomseMcelaboO

7005 11600002 24431286

PS Form 3811, February 2004

Domestic Return Receipt

0

yes

102ses-02-M-1540

,

RECE IVED

DEC 2 9 2005

P

STATE

Control Boa

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