$

IlA~.

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 yo1~.

U

Attach thi~ni to the back of the mailpiece,

or on the.f~ ;if space permits.

1. AicteAddré~idto: 3/17/05 B.M.

V

AC 2005—050

Lomac Payton

Knox County Landfill Committee

Knox County Courthouse

Galesburg, IL 61401

~4AR252005

ST~~d

A. Signatu~

0

Agent

0

Addressee

7ceivedZ~nfe~Ny)

~at~ o~D~

D. Is deliveryaddress different from’item 1? 0 Yes

If YES, enter delivery address below:

0 No

3. S2rvice Type

,~4ertifiedMail

o Registered

0 Express Mail

0 Return Receipt for M5rchandise

o Insured Mail

0 .C.O.D.

SENDER:

COMPLETE THIS SECTION

COMPLETE THIS SECTION ON DELIVERY

4; Restricted Delivery? (E’tm Fee)

0 yes

2. Arbcte Number

(rmnsferfmmser.~ice/abeI)

7004 2890 0004 2296 1099

PS Form 3811, February 2004

Domestic Return Receipt