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    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.
    ArticleAddressedto:
    1/6/05
    B.M.
    PCB
    2005—113
    Hermon
    Stier
    Spoon
    River
    FS,
    Inc.
    d/b/a
    Riverland
    FS,
    Inc.
    5515
    East
    County
    Road
    17
    Ellisville,
    IL
    61431
    D
    Is
    delivery
    address different from
    item 17
    0
    Yes
    If YES, enter delivery address below:
    0
    No
    3.
    Sprvice
    Type
    ~-Certified
    Mail
    ti
    Registered
    0
    Insured Mail
    0
    Express Mail
    0
    Return
    Receipt for Merchandise
    0
    CO.D.
    4.
    Restricted
    Delivery?
    (&tra Fee)
    0
    Yes
    2.
    Article Number
    (rransferfrom service label)
    7004
    0750
    0004
    3960
    2380
    PS
    Form
    3811,
    February 2004
    Domestic Return
    Receipt
    1O2595~O2-M-l
    540
    B.
    Received
    bV(Printed Name)
    C.
    Date of Delivery

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