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 .

PCB

Article

2007-103

Addressed to 4/19/07

.M.-B

Christian

County Farmers

Supply

Company

Route

29

I Box 49

Millersville,,IL 62555

COMPLETE THIS SECTION ON DELIVERY

A . Signature

11

Agent

X

~0 Addressee

B . Received

by (Printed Name)

C

. Date of Delivery

ISeU l r1 -tea

.r'd e

r 5 5

nVr

D

. Is delivery address different from item 1? 0 Yes

It YES, enter delivery address below :

0 No

3

A

Service

Vertifed

TypeMail

0 Express Mail

0 Registered

0

Return Receipt for Merchandise

0 insured Mall

0 C.O.D

.

4 Restricted Delivery?

(Extra Fee)

0 Yes

2 . Article Number

(rransferfrom service label) 7006 0100.000

.0 7374

7774

PS Form

3811,

February 2004

Domestic Return Receipt

102595-02-M-1540

ORIGINAL

RECEIVEDCLERK'S

OFFICE

MAY 1

1 2007

Pollution

STATE OF

Control

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