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 . Article Addressed to :

3 / 16 J 06 B .M.

PCB 2005-204

Jerome Marcus

707 Skokie Blvd ., S

Northbrook,_IL 60062

e 410

COMPLETE THIS SECTION ON DELIVERY

C. Date of eliv

/Z/

D. Is delivery address different from item 1? 0

If YES, enter delivery address below :

3. Service Type

KC-ertified Mail

O Express Mall

/0 Registered

0

Return Receipt for Merchandise

0

Insured Mail

0

COD .

Restricted D

"

ery?

F

0 Yes

i

2. Article Number

(Tr.w,sfer from service label)

700

1160 0002 2067 8760

PS Form

3811,

February 2004

Domestic Return Receipt

102595-02-M-1540