| OCT 1 ~2004STAi~OF ILLINOISPoIIu~0~Control SoardSENDER: COMPLETE THiS SECT/ONU Complete items 1, 2, and 3.item 4 if Restticted.Delive~,is desired~I Print your name and address on ‘the reverse’so that we can return the card to yoU.- • Attach this card to theback-ófihe.mailpiece,
•or on the front if space’ permits.Article Addressed to: 10 /7 /04Matthew M.322 West BurlingtonLaGrange, IL 60525~_________________________________________________ 4.- .Restricted Delivery? (Extia Fee,l. 0 Yes
2. Article Number(Transfer from sèMceIabef) 7004 1160 0005 4~1~263868 ... |