?R!GJNA

COMPLETE THIS SECTION ON DELIVERY

W u

.d

~/

B

. Received

(

rued Name)

SENDER

:

COMPLETE THIS SECTION

A Signature

Agent

Addressee

C

. Date of Delivery

I ∎ 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

.

∎ Attach this card to the back of the

mailpiece,

or on the front if space permits

.

I

D

. Is delivery

Article Addressed to

:

2/15/07

B .M

.

PCB

2007-072

1

I

Larry

2879

Bishop B.Rad

IL 61277

Prophetstown,

3 SBr IC0IyPe

ed Mail

O Express Mall

Registered-

O

Return Receipt for Merchandise

E3

Insured Mail

[3 C.O.D

.

I

4

. Restricted Delivery? (Extra Fee)

12

. Article Number

(lansferfrom service laben

7001 1140 0002 7469 048

I

PS Form

3811,

February 2004

Domestic Return Receipt

0 Yes

address d'Merent

m ttem

low :

I?

0 yes

If YES, enter delivery address be

0

No

RECEIVED

OFFICE

F-- 2 0 2007

PolhapSTAT

, I ,

OF

Control

ILLINOIS

Board

102595-02-M-1540