1. page 1

 
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 . Article Addressed to:
9 /
06 B.M .
AC 2006-030
Rick Linnabury
7909 IL Hwy 49
Kansas, IL 61933-6023
2 . Article Number
(Transfer from service label) 7005 1160 0002 2068 0220
I
PS Form 3811, February 2004
Domestic Return Receipt
4. Restricted Delivery? (Extra Fee)
RECEIVEDCLERK'S
OFFICE
OCT 2 0 2006
Pollution
STATE OF
Control
ILLINOISBoara
C . Date of Delivery
D is delivery address different from item 1?
O s
If YES, enter delivery address below :
0 No
3. rvice Type
fled Mall O
Express Mall
Registered
0 Return Receipt for Merchandise
0 Insured Mail
0 C.O.D.
O Yes
102595.02-1-1540

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