ENDER: 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 .

'ale

3/16/06 B .

PCB 2006-134

Adam

B .

Simon

Ancel, Glinkm, Diamond,., Bush,

DiCianni & Rolek,

P .C

.

.

415 West Washington Street

Waukegan, IL

60085

2. Article Number

(Transfer from sen,!ce label)

7005

1160 0002

2067'87'

PS Form

3811,

February 2004

A. Signa

Agent

O Addressee

Received by

Pn

ed Name)

~of

Delivery

D. Is delivery

address

different

from item 1?

13 Yes

If YES, enter delivery address below

:

0 No

3. S ice Type

Certified

Mail

C}

Express Mail

Regi

13 Return' Receipt for Merchandise

11

n

red all

C.O D.

4. Restrict

ery? (Extra Fee)

p Yes

Domestic Return Receipt

102595-02-M-1540