~V A

SENDER :

COMPLETE THIS SECTION

1

∎ 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

so that we can return the card to you

.

I1

∎ Attach this card to the back of the mailpiece,

or on the front if space permits

.

St . Elmo, IL

62458

I

I

. Article Number

(Transfer from servicelabell

7001 1140

0002 7469 0053

1

PS

Form 3811,

February 2004

Domestic Return Receipt

102595-02-M-1540

O Agent

OAddressee

( Print d Name)

C

. Date of Delivery

ddress different from item I? O

Yes,

er delivery address below

:

No

6F~

3

. Service Type

rtiled Mail

O Express Mall

Registered

0

Return Receipt for Merchandise

O

Insured Mail

O

C.O .D.

4

. Restricted Deli ery? (Extra Fee)

RECEIVEDCLERK'S

OFFICE

FE 9 2 "

2007

Pollutinn

STATE OF

Control

ILLINOISBoard

COMPLETE THIS SECTION ON DELIVERY

O Yes

I Article Addressed'~o~

:

2/15/07 B . M . .

PCB 2007-0~l4

Brad Sams

Pinnacle Foods

Group,

Inc .

1000 Brewbaker