JUL 062005STATE OF ILLINOISPoHutIOfl Control BoarcgSENDER: COMPLETE THIS SECTION • Complete items 1, 2, and 3.
Also complete
item 4 if Restricted Delivery is desired.
a Attach this card to the back of the mailpiece,
or on the front if space permits.
(&tra Fee)
2.
Article Number
(Transfer from service label)PS Form 3811, February 2004 7004 2890 0004 2307 1209Domestic Return Receipt o Express Mailo Return Receipt for Merchandiseo C.O.D.
0 Yes
4.Is deliveryaddress differentIf YES, enter delivery address 102595-02-M-1 540
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
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