SENDER :

COMPLETE THIS SECTION

ORIGINAL

j ∎ Complete Items 1, 2, and 3

. Also complete

I

item 4 If Restricted Delivery is desired

.

1 ∎ Print your name and address on the reverse

so, hat 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 Addreaeedto : 11/2/06 B .M

.

E6B 2006-178

I c/o James L . Miller, Registered

I

Agent

, Galena Hillside Homes, Inc .

402 Fourth Street

Galena, IL 61036

I

I

2. Article Number

(rransfer

from service ?abel) _ 7005

1160

0002 2Q68

' . PS Form 3811,

February 2004

. Domestic Return

COMPLETE THIS SECTION ON DELIVERY

C.

O Agent

0 Addressee

ry

D . Is delivery address different from Item 14 11 Yes

It YES, enter delivery address below:

17 No

ce Type

Led Mail O Express Mall

Registered

13 Ret6m Redeipt

C3 Insured Mall

0 C.O.D .

4. Restricted Delivery? (Extra Fee)

RECEIVE

CLERKS

OFFICED

2006

Pollution

STATE OF

Control

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