Daniel R. Pauley RECEIVED0 JR I C! NA L~~~’sOFFICEOCT 112005COMPLETE THIS SECTION ON DELIVERYSTATE OF ILLINOISBoard10 Robin Hill LaneBelleville, IL 62221 A. Signatur&r~~MJ?I’ W ‘ C Mdressee8. l3~ceivadby (A*#ed Name) C. Date of Delivery/à—/S~--~,0. Is dalwery address different from item I...
Allowed
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