1. Page 1

 
74CLERK'S
ECEIVM
OFFIC
MAR
31
2008
OF ILLINOIS
c#::\
?
-,orarol Board
SENDER:
COMPLETE THIS SECTION
Complete Items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the cad to you.
Attach this cad to the back of the mailpiece,
or on the front If space permits.
1. Article Addressed to:
?
3/20/08 B.M.
Norma Eddington
?
ke.05C-
V
4954 U.S. Highway 67 —
Beardstown, IL 62618
COMPLETE THIS SECTION ON DELIVERY
A. Signature
A
q
Agentdresses
B. Received by ( Printed
Name)?
C. Date of Deily
D. delivery address different from item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
3. Service Type
Hied Mail 0
Express Mail
g
ite
gistered
rt
?
0
Return Receipt for Merchandise
0 Insured Mali
?
q
C.O.D.
4. Restricted Delivery?
(Extra
Fee)
?
q
Yes
2. Article Number.
(Transfer from service label)
7007 3020 0000 4630 5333
PS Form
3811,
February 2004?
Domestic Return Receipt
?
102595-02-M-1540

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