SENDER:

COMPLETE

Tl-IIS

SECTION

N

Complete items 1,

2.

and

3.

Also cornplet#

Item 4 ii Restricted Delivery

is desirçd.

•

Print

your

name and address on

the

reverse

so that we

can return the card to yo~).

•

Attach this

card to the back of the

rnaiIpie~e,

or on

the

front

If space permits.

1.

MicleAddressedto:

10/6/05 EM.

AC 2004—078

Daniel

R.

Pauley

RECEIVED

0

JR

I C!

N

A

L~~~’s

OFFICE

OCT

112005

COMPLETE THIS SECTION ON

DELIVERY

STATE

OF ILLINOIS

Board

10 Robin Hill Lane

Belleville,

IL 62221

A.

Signatur&

r~~MJ?

I’

W

‘

C

Mdressee

8.

l3~ceivad

by

(A*#ed

Name)

C.

Date

of Delivery

/à—/S~--~,

0.

Is dalwery address different from item

I?

C

Yes

-

if

YES,

enter delivery

address

below:

C

No

3.

Service

Type

Mail

C

Express Mall

D

RegIstered

0

Return Receipt

for

MerchandIse

C

Insured

Mall

C

C.O.D.

4.

ReStricted Delivery?

(Extra

Fee)

C

Yes

2.

ktIcie

Number

(rmnslerfmmservlcelabeQ

7005

1160 0002 2069 3688

PS Form

3811

February

2004

Domestic

Return Receipt

102595-Q2-M- 1540