CLERK’S OFFICEFEB 28 2005STATE OF ILLINOISPOtIutj~~Control BoardSENDER COMPLETE THIS SECTIOI’J COMPLETE THIS SECTION ON DELIV~BYComplete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
~ Attach this card to the back of the mailpiece,
or on the front if space permits.
B.
Received by (Printed Name) C.
Date of Delivery
( ~ ~~t&~ ~ 0. Is delivery address differentfrom item 1? 0 YesIf YES, enter delivery address below:3. ~arviceType~Certif led Mail 0 Express Mailo Registered 0 Retum Receipt for Merchandiseo Insured Mail. (Extra Fee) ...
Allowed
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