LERK S OFFICE 5 I2 STATE OF ILLiNOiS PIItt Control Board A.
Signature
B.
Received
by (Pri dNa,fle) 41ö.
Date of
Delivers’ ‘%Wk’ D.
Is delivery
address different frem item1 ? El Yes / If YES enter delivery address below El No 3.Sprvice Type ‘.Certified Mall El Express Mall II] Registered El Return Receipt for Merchandise El Insured Mail El C.0.D.
4.
Restricted Delivery? • Print your name andaddress onthe reverse ____________________________________________ sothat we can returnthe card to you. 1. ArticleAddressedto: 9/30/08 B.M. AC 2009—005 Donald I. and Mary A. Jenning/ R.R.4, P.O. Box 31 Mt.
Allowed
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