1. page 1

 
SENDER :
COMPLETE THIS SECTION
ORIGINAL
PS Form 3811,
February 2004
Domestic Return Receipt
RE
CLERK
CIE"9
OFFICEleo
AUG
3
a
2006
STATE OF ILLINOIS
13011NOnn
Control Board
COMPLETE THIS SECTION ON DELIVERY
A Sip tuts
0
Agent
Xi
0
"yYx
Addressee
∎ Complete Items 1, 2, and 3
. Also complete
item 4 if Restricted Delivery is desired
.
∎ Print your name and address on the
reverse
x
5o
that we can return the card to you .
B . Received b)~(Pn'nted
Name)
C . Date of Delivery
Attach
or on the
this
front
card
if
to
space
the back
permitsof
the
.
mailpiece,
ER1 G
D
. Is delivery address different from item 1?
0
yes
Article Add
so to' 8/4/06 B
.M .
If YES, enter delivery address below
:
0 No
PCB 20 007
Gregor '
.
Miller
Mille
d Ferguson
9415
State Street
Chicago, IL 60619
3. Se ce Type
rifled Mail
13 Express Mall
Registered
13
Return Receipt for Merchandise
0 Insured Mail
0 C .O.D
.
i
4
. Restricted Delivery? (Extra Fee)
i 2 . Article Number
(Transfer from service label)
7005 1160 0002 2067 9927
13 yes
102595-02-M-1540

Back to top