Village of Wauconda101 North Main StreetWauconda, IL 60084)~9cR,1c7ZI R~C~1V~DCLERK’S OFFICE~1AY032005A Signature~~/) (a~~eJ:~th~—M AgentAddresseeJoi~rnfRgc~kby (PrintedName) C Date of DeliveryD. Is delivery address different from Item 1? 0 YesIf YES, enter delivery address below: 0 No3. ServIce Type‘ertifled Mall‘tI ~egistéred0 Insured MaiL4. RestriCted Delivery? • Attach this card to the back of the mailpiece,or on the front if space permits. (Extra Fee) ...
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