SENDER

:

COMPLETE THIS SECTION

COMPLETL IHISSE :

;PONOfiJELIVERr

FIRM

D. Is

0

Agent

0e

∎ Complete items 1, 2, and 3

. Also complete

item 4 If Restricted Daeery

ip id I d.

,~

•

Print your name aild'adB149s'on

tN§'' re

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

ArticleAddressedto: 5/3/07 B .M.

AC

2006-032

David

Skidmore

1

Mineral

Springs Dr .

Ava, IL 62907

delivery address different from item 17

0y-

If

YES, enter delivery address below

:

0 No

ce Type

ed Mall 0 Express Mail

Registered

0 Return Receipt for Merchandise I

0 Insured Mail

0 C.O.D .

4

. Restricted Delivery? (Extra Fee)

0

Yes

2 . Article Number

!asph

.:.:1

4 iiA119;9w{a419ijk4rl

4a, ii, li, /

PS Form

3811, February 2004

Domestic

.Retum Receipt

I

102595-02-101-1540

REC EIVI

ED

MAY 2 2 2001

Pollution

STATE OF

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