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 .

l 1

. Article Addressed

AC 2007-002

Norbert

&

Wilma Adams

308 N . Honover

Apt

. A, Box 19

Metamora, IL 61548-7068

COMPLETE THIS SECTION ON DELIVERY

A. Signature

Addressee

C. r

: a-fDelivery

L

a

.

r h . 6

D . Is delivery address different from item 1 of

If YES, enter delivery address below

:

O No

3. ServIce Type

O

O

CertifiedRegisteredmail

O Express Mall

O Return Receipt for Merchandise

O Insured Mail

O C.O.D.

4

. Restricted Delivery? (Extra Fee)

2 Article Number

(transfer from service Isbell

7006 0100 0000 7374 7651

,

PS Form 3811, February 2004

∎ Completp

Items 1, 2, and 3

. Also complete

item 4 If Restrcted

Delivery Is desired

.

I ∎

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,

I

or on the front if

apace permits.

t . Article Addressed

t0:

12/21/06 B

.M .

I

I AC 2007-002

William R

. Kelly

William Kelly

1 4801 N

. 'Proodet

j Peoria Heig %ts, IL 61616

i

PS Form

3811, February 2004

Domestic Return Receipt

1

COMP! FTE THIS SECTION ON DELIVERY

SENDER

:

COMPLETE THIS SECTION

C Agent

C Addressee

C

13

. Date

.01

of Delivery

3. Service Type

C

Certified Mail C

Express Mall

C

Registered

C

Return Receipt for Merchandise

C

Insured Mall

C C.O.D

.

4. Restricted Delivery?

(&lre Fee)

0 Yes

D. is d- '

address

Ale

dfferent from item 1?

O Yes

If YES, enter delivery address below

:

O No

1 2 . Article Number

(rrenslSr

from serike7aben

7006

0100 0000 7374 7668

Domestic Return Receipt

102596-02-M-1540

RECEIVED

CLERKS OFFICE

JAN 0 8 2007

Pollution

STATE OF

Control

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