CLERK’S OFFICENOV 30 2005STATE OF ILLINOISPoHuuon Control Boardk Signature~JiRece1vedby (PiinteqNar5s( C.
Date of Delivery
.Jutit, ~aJi~ç’ocp.
Is delivery address dlff~-itfrom Item 1? Cl Yes
If YES, enter delivery address below: C P4o3.
ServIce Type
CeTtIIIed Mall C Express Mall‘Cl Registered Cl Return Receipt for MeithandiseD Insured Mall Cl D.O.D.
4.
RestrIcted Delivery? • Print your name and address on the reverse
so that we can return the cardto you. A’ 0 Agent ~ a~a~M.Cl AddresseePCB 2004—226Julio GallegosI. NtlcleMdressedtc: 11/17/05 B.M.4200 w. Palner Stree~Chicago, IL 60639PS Form 3811, Februar,j Z0Q...
Allowed
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