ORIGINAL

SENDER

: COMPLETE THIS SECTION

∎ Complete items 1, 2, and 3

. Also omPlete

hem 4 if Restricted Delivery

∎ 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.

B.M .

-

1/5/06

'

. ~

ddress different from

S

D .

0

Agent

Addressee

C pat of Del

Yes

3. Service TYPO

rZfled Mail

0

353

Mail

EXM

Receipt for Merchandise

Raium

i

red

OD .

C

.

0 insured Mall

.

4

. Restricted Delivery? (ire Fee)

0 Yes

1 . Article Addressed to :

PCB 2005-21

4

Barry Hayden

Hayden Properties

122 Lincoln Place Court

Suite 202

IL 62221

Belleville

,

I

2. Article Number

7005 1160 0002 2443 1408

(Transfer from

,b e Iabeo

Domestic Return Receipt

l PS Form

3811,

February 2004

Is deilverY a

Re<n 1?

I YES,

enter delivery address below

:

RECEIVED

CLERK'S OFFICE

JAN 2

2006

STATE OF ILLINOIS

Pollution

e

.

d

COMPLETE THIS SECTION ON DELIVERY

0

O

No

102595-02 .M.1549