1. page 1

 
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
.
COMPLETE THIS SEr", ION ON DE'JVERY
a
0 Agent
0 Addressee
C . Date of D ive
I
Article Addressed to' 1/2/06 B .M .
PCB 2006-035
Reg .
.Agent for Quantum Color
Graphics
Howard A. Balikov
555 Skokie Blvd
.
Suite 400
Northbrook, IL 60062
I
II
i
I1
2. Article Number
I
(rransferfrom service labeq
7005 1160 0002
2068 064Q;:
PS Form 3811,
February 2004
Domestic Return Receipt
102595-02-M-1540
R
LERK'SOI
E
C
VC
ECE
D
NOV 0 8 2006
Pollution
STATE OF
Control
ILLINOISBoard
D
. Is delivery address different from item 17
Yes
If YES, enter delivery address below
:
0 No
mice Type
rtlfled Mall 0 Express Mail
Registered
0
Return Receipt for Merchandise
0 Insured Mall
0 C .O.D.
4 . Restricted Delivery? (Extra Fee)
0 Yes

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