1. page 1

 
ORIGINAL
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
.
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Grand . Rapids, MI
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1 . Article Addressed to:
8/17/06 B
.M .
PCB 2007-002
Cynthia Warren
Meijer Corporate Counsel
2929 Walker Avenue, NW
49544
2 . Article Number
(TansferfromService label)
7005 1160 0002 2068 0183
PS Form 3811, February 2004
Domestic Return Receipt
D . Is delivery address different fromkem 1?
0 Yes
If YES, enter delivery address belrMll"
g4`-
2006 I
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3.
O
Service
Certified
TypeMail
0 Express Mail
0 Registered
0 Insured Mail
0 Return Receipt for Merchandise
0
C.O.D
.
4
. Restricted Delivery? (Extra Fee)
0
Yes
RECEIVEDCLERK'S
OFFICE
AUG 2 6 2006
Pollution
STATE OF
Control
ILLINOISBoard
COMPLETE THIS SECTION ON DELIVERY
A
X
. Signature
DUANE RAWSON 0Ageent
0
vQ~ by (PAFt~d Name)
. Date f Dal
102505-02-M-1540

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