SENDER : COMPLETE THIS SECTION
∎ Complete items 1, 2, and 3 . Also complete
Hem 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,
I
or on the front if space permits .
I . Article Addressed to :
9/7/06
PCB
2006-182
Thomas S . Leonard
Leonard & Associates
17103 Oak Park Avenue
Tinley Park, IL 60477
I
I
2. Article Number
(llensferfromservice labaI)
7005
1160 0002 2068
PS Form 3811, February 2004
_
Domestic Return Receipt
B .M .
ORIGINAL
COMPLETE THIS SECTION ON DELIVERY
A Signature
x
'-/,,/
//
0 Agent
/~'(~ a
0Addressee
B
. Received b\j Printed Name)
atea livery
a'
D
. Is delivery address different from Item 1
Yes
If YES, enter delivery address below:
17 No
Ice
Type
Ified Mail O Express Mail
Registered
C Insured Mall
0 Return Receipt for Merchandise
0 C.O.D.
4. Restricted Delivery? (Extra Fee)
0305
0 Yes
102595.02-W IMMo
REG
EIVED
Pollution
STATE OF
Control
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