SENDER : COMPLETE THIS SECTION

I ∎ 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

.

Article

ed to:

81 06

B .

PCB 2 -007

011ver .

Spurlock

9415 S . State St .

Chicagoi

IL 60619

Qlpll~ -1

ORIGINAL

COMPLETE THIS

SECTION ON DELIVERY

2

. Article Number

(Transrerfrom serVIcelebeq

7005

116000022067 9958

PS Form 3811, February 2004

Domestic Return Receipt

S Ice lype

mail 0 Express Mall

Registered

0 Return Receipt for Merchandise

0 Insured Mail

0 C.O.D .

4, Restricted Delivery? (Extra Fee)

t02595-02-M-154o

RECCpJ

CLERK'S OFFICEd

/dAG

2

rl

2GG6

Pollution ControlILLINOIS

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