1. page 1

 
f sF)'
f"
r .
RECEIVED
CLERK'S OFFICE
JArl 0 '1 200!
STATE OF ILLINOIS
COMPLETE THIS SECTION ON DELIVERY
A S' a ure
\A
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 .
1 . Article Addressed to: 12/21
AC 2006-056
Ken
Hoving
Lake Wildwind Park, L .L
363 Trinity Lane
Oak Brook, IL 60521
' 2 . Article Number
(Transfer from service label)
PS Form 3811, February 2004
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 Tailpiece,
or on the front If space permits .
1 . ArtlcieAddressedto:
12/21/06 B
.
AC 2006-056
Edward N . Tesenga
Tiesenga, Gottlieb & Reinsma
1200 Harger Road
Suite 830
Oak Brook, IL 60523
X
7006 0100 0000 7374 7637
Domestic Return Receipt
2 . Article Number
(Ifansfertram servlcelabel)
7006
0100 0000 7374 7644
PS Form 3811, February 2004
Domestic Return Receipt
B. Receivedby(Printedv
Name)J
Gwer7 )4oVI )l
Is delivery address di
em 1? 0 Yes
If YES, enter delivery addre
to
C
OO AgentAddressee
Date of Delivery
3
ce Type
Certified Mall
0
Express Mall
Registered
0 Return Receipt for Merchandise
0 Insured Mall
0 C.O.D .
4 . Restricted Delivery? (Extra Fee)
0 Yes
COMPLETE THIS SECTION ON DELIVERY
A. S natu
x r),
0 Agent
0 Addressee
B .,Recelved by (Printed Name)
Date of Del
D . Is delivery address different from Item 1? 0 Yes
If YES, enter delivery address below :
0 No
3. Service Type
O Certified Mail O Express Mail
0
Registered
0 Return Receipt for Merchandise
0 Insured Mall
0 C.O.D.
4 . Restricted Delivery? (Extra Fee)
102595-02-M-1540
0 Yes
102595-02-M-1540

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