A.

S

)latur

D.

Is

delivery

address

different

from

item

1?

1]

Yes

If

YES,

enter

delivery

address

below:

D

No

3.

Service

Type

rtified

Mail

Registered

D

Insured

Mail

D

Express

Mail

D

Return

Receipt

for

Merchandise

0

COD.

ENDER:

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.

I

Attach

this

card

to

the

back

of

the

mailpiece,

or

on

the

front

if

space

permits.

•

Article

Addressed

t

:

0/1

/

09

B

,,M.

C

2006-039

1

601—1759

E.

130th

St.

LLC

)630

S.

Torrence

iicago,

IL

60617

4.

Restricted

Delivery?

(Extra

Fee)

Article

Number

(Transferfrom

service

label)

7009

0960

0000

5962

0388

Form

381

1,

February

2004

Domestic

Retnrn

0

Yes