ORIGINAL
1
. Article Addressed to
I PCP
2004-031
Steven Broadus
I
I
SENDER : COMPLETE THIS SECTION
1 .
∎ Complete Items 1, 2, and 3
. Also complete
A .
item 4 if Restricted Delivery is desired
.
•
Print your name and address on the reverse
so that we,c3rf return the card to you
.
B .
eceived by (Print Name)
•
Attach
or on the
thjscard
front if
to
space
the back
permitsof
the
.
mailpiece,
u rU .Ul(71 ~
. Is delivery address different from item
If YES, enter delivery address below :
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
.
Broadus Oil Corporation
201 Danny's Drive
Suite 5
Streator, IL 61364
Artigl dressed to
:
3/1/07 B .M .
PCB 04-031
Ste
. Hedinger
Hedinger Law Office
2601 South Fifth Street
Springfield, IL 62703
COMPLETE THIS SECTION ON DELIVERY
2 . Article Number
(Transferfmm service label)
7001 1140 0002 7469 0145
Ice Type
rtffed Mall 0
Express Mail
0 InsuredRegisteredMali
. 0
Return Receipt for Merchandise
0 C.O .D.
4
. Restricted Delivery? (Extra Fee)
2 . Article Number
(rmansferfrom servIcelabel)
7001 1'140
.CQ02,7469
0152
PS Form 3811,
February 2004
Domestic Return Receipt
Ice Type
Mad Mall O Express Mall
Registered
0 Return Receipt for Merchandlsi
0
Insured Mall
0 C.O.D .
4. Restricted Delivery?
(Extra Fee)
0 Yes
Domestic Return Receipt
102595-02-M-154
0
Agent
Addressee
C . Date ofD fSECEIVED
Is delivery address different
from
item
J
1?
/J
O Yes
4 CLcrIK
5 OFFICE
If YES, enter delivery address below
:
0 No
MAR
I
1
o-
. 2007
Pollution
STATE OFControl
ILLINOIS
Board
0
Yes
102595-0-M-1540