0 Agent?

I

q

Addressee

B. Received by

(Printed Name)?

C. Ipate ?

of 1\ifilivery

D.

Is delivery address different from item

3

1?

?

Yes

af

If YES, enter delivery address below:

?

q

No

ioutrek)

A. Sesiatureji

ci

7K'S

OFFICE

::;R

3

1 2008

S

•

?

ILUNOIS

Control 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 card to you.

■

Attach this card to the back of the mallplece,

or on the front if space permits.

1. Article Addressed to:?

3/20/08 B.M.

PCB 2005-154

Curtis W. Martin

Shaw & Martin

123 South 10th Street

Suite 302

P.O. Box 1789

Mt. Vernon, IL 62864

COMPLETE THIS

SECTION ON DELIVERY

rvice Type

Med Mail

q

Express Mail

Registered

?

q

Retum Receipt for Merchandise

q

Insured Mall?

q

cat).

4. Restricted Delivery?

(Extra Fee)

?

q

Yes

2. Article Number

(Transfer from service label)

?

7007 3020 0000 4630 5395

PS Form 3811,

February 2004?

Domestic Return Receipt

102595-02-M-1540