| - Complete items 1, 2, and 3.
- ~iso complete
item 4 if Restricted Delivery is desifed.- • Print your’name and address on the reverse
so that we can return the card to you..- • Attach this card to the back of the mailpiece,
or on the front if~spacepermits.- 1.
- ArtlcleAddressedto: 9/16/04 B.m.
AC 2005—013Roy Bruce REC~JVEDCLERK’S OFFICESEP 22 2064STATE OF ILLINOISPOH~tj~~Control Board18456 E. Hawk Road 3. S~rviceType)SPertified MailEl, Registered0 ~nsuredMali4. Restlicted Delive,y? (Ext,~Fee)2. Article NumberI (rransfe~fromser,IceIabe!) 7004 1160 0005 4123 1614SENDER: COMPLETE THIS SECTION J COMPLETE THIS SECTION ON DELIVERYA. Signatu ... |
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