ORIGINAL
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 Add
6/15/06 B
.
PCB 20
80
Peter
wan
Emalfa
Swan & Bain
440 Cex*ral Avenue
Highland Park, IL 60035
2
. Article Number
(nansferimmservice Isbap
7005 1160 0002
2067 9484
I PS Form
3811, February 2004
Domestic Return Receipt
RECCLERK'S
oVIE
D
JUN
2 2 2006
STATE
01
OF ILLIN
. .
COMPLETE THIS SECTION ON DELI
:_ R :
A. Slgnat
. Received
by (Printed Name) _
C. Date of Delivery
D
. Is delivery address different from Item 1?
0 Yea
If YES, enter delivery address below
:
O No
3. ~FervIce Type
_ertlfled Mail 0 Express Mail
0 Registered
0
Return Receipt for Merchandise
O Insured Mall
0 C.O.D .
4
. Restricted Delivery? (Extra Fee)
0 Yes
102595-02-M1540