CLERK’S OFFICEMAR 2 ~2005STATE OF ILLINOISPoUutiOfl Control BoardSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete 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.
Steve Feurbach
2435 Bethany Rd.
Sycamore, IL 60173
r’Receive~Y(Printed Name) C.
Date of Delivery
S ice Typeertifled Mall 0 Express MailRegistered 0 Return Receipt for Merehandise0 Insured Mail 0 C.O.D.4. Restricted Delive ry7 ~E’ct,aFee) 0 YesA. Sign...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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