ORIGINAL

SENDER : COMPLETE THIS SECTION

COMPLETE THIS SECTION ON DELIVERY

aSul

C . Date of Delivery

D Yes

0

∎

Ce

0 Agent

Addressee

∎ 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 maliplece,

or on the front if space permits .

11 . Article

sedto

9/7/06 B

.M .

PCB 20 -079

Walte

.

Deemie

River ty Demolition

P

.O .

Box

726

Peoria, IL 61652

D. Is del" add

RECEIVEDCLERK'S

OFFICE

OCT 2 4 2006

STATE_ OF ILLINOIS

'oIIut on

Control Board

If YES, enter d

address bolo

S17F

1 ~3 20

Typo

ad Mall D Express Mall

Registered

0 Return Receipt for Merchandise

D Insured Mall

0 C.O.D

.

2 . Article Number

.

(nensferfromservlceta 5

e1)

7005

1160 0002'2068'0237'

Pa,Forrrt38111,February2004

Domestic Return Receipt

No

I

D Yes

4. Restricted Delivery? (Extra Fee)

1025e5-02M-1540 i