SENDER : COMPLETE THIS SECTION RECEIVEDCLERK'S OFFICEDEC 0 5 2006STATE OF iLLINOIbPolluting -^,ontrol RolarcCOMPLETE THIS SECTION ON DELIVERYI ∎ Complete items 1, 2, and 3 .
Also complete
I item 4 if Restricted Delivery is desired.
I ∎ Print your name and address on the reverse
'i so that we can return the card to you .
B.
Received by(PantedName)
∎ Attach this card to the back of the mailpiece,or on the front if space permits.
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D. Is delivery address different from Rem 1? 0 Yes1. Article Addressed to : 11/16/06 B.M. If YES, enter delivery address below: 0 NoAC 2005-040Lewis B. Kapl...
Allowed
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