q
Agent
q
Addressee
C. Date of Delivery
COMPLETE THIS SECTION ON DELIVERY
B.LR-eceived by/
Printed
.
Name)
e1,4
3. S rvice Type
Certified Mail
Registered
q
Insured Mail
nGINAL
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 card to you.
■
Attach this card to the back of the mailpiece,
or on the front if space permits.
1 Article Addressed to:
2/21/08 B.M.
AC 2007-043
Bob Osinga
88 S. Jungle Road
Murphysboro, IL 62966
CPWES
WIFF
MAR 0 3
2008
OF-ILLINOIS;
con
q
Express Mail
q
Return Receipt for Merchandise
q
C.O.D.
. Is delivery address different from item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
4. Restricted Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
(Transfer from service label)
?
7007 3020 0000 4630 5180
PS Form 3811,
February 2004
Domestic Return Receipt
102595-02-M-1540