SENDER

:

COMPLETE THIS SECTION

∎ Complete hems 1, 2, and 3

. Also complete

hem 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 mallpiece,

or on the front If space permits

.

1 Article Addressed to:

5/18/06

B .M .

AC

2006-037

Daniel Brenner

Jackson County State's Attorney

Office

Jackson County Courthouse

Murphysboro, IL 62966

PS

Form 3811,

February 2004

SENDER

: COMPLETE THIS SECTION

•

Complete hems 1, 2, and 3. Also complete

hem 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

. Mole Addressed to : 5/18/06 B .M .

AC 2006-037

James Qualls

2642 Wilson Road

Ava, IL 62907

2

. Article Number

(ffansferhrom service labeD

PS Form 3811, February 2004

ORAGANALMM

3 0 2006

COMPLETE THIS SECTION ON DELIVERY

A. Signature

X

L~. U.----J

2

. Article Number

(rmnsfer

from

service laben

7005

1160 0002

2067

~',~

;,9262

Domestic Return

sit

4

. Restricted Delivery?

(Extra Fee)

7005 1160 0002 2067 9279

Domestic Return Receipt

4 . Restricted Delivery? (Ewe Fee)

RECLERK'S .CAVEDOFFICE

Pollution

STATE OF

Control

ILLINOISBoard

0 Agent

0 Addressee

B . Received

by (Printed Name)

C

. Date ~of Delivery

D

. Is delivery address different from item 1? 0 yes

If YES, enter delivery address below

:

0 No

S

ce Type

Wed Mail

0 Express Mall

Registered

0

Return Receipt for Merchandise

0 Insured

Mail

0

C .O .D.

0 Yes

10259502-M-1540

COMPLETE THIS SECTION ON DELIVERY

eceived by (Rfnted

Agent

.

ressee

0

of Delivery

D. Is delivery address afferent

item 1??

00 Yes

If YES, enter delivery address below:

0 No

3. Service Type

0 Ceititled mail 0 Express Man

0 Registered

0 Return Receipt for Merchandise

0 Insured Mall

0 C.O.D.

O Yes

10259502-M 1540

;