CLERK’S

OFFICE

OCT

2

4

2008

STATE

OF

ILLINOIS

PoUuto

Control

Board

A.

Sign

re

D

Agent

X/J44

I

D

Addressee

B.

Received

by

(Printed

Name)

C.

Date

of

Delivery

-.

0.

Is

delivery

address

different

from

item

1?

0

Yes

If

YES,

enter

delivery

address

below:

0

No

3.

Service

Type

tfr

Certified

Mail

C

Express

Mail

ffJ

Registered

C

Return

Receipt

for

Merchandise

C

Insured

Mail

C

COD.

4.

Restricted

Delivery?

(Extra

Fee)

C

Yes

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.

•

Attachis

card

to

the

back

of

the

mailpiece,

or

or

front

if

space

permits.

1.

ArticleAddressedto:

10/16/08

B.M.

PCB

20

8—099

Rick

F

th/Southwest

Bank

Knapp

Oil-Company

#2

Cale

Plaza

Drive

Belleville,

IL

62221

2.

Article

Number

rransferfmmser.’iceIabeO

7008

0500

0000

4545

5250,

PS

Form

3811,

February

2004

Domestic

Return

Receipt

1O2595-O2-M-i54O

-------