'14

(3:.].

!

.-f:,.CEIVED.ERK's

OFFICE

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,

'

'13 2007

zir

4,1E

OF ILLINOIS

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1

2 •?

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SENDER:

COMPLETE THIS SECTION

COMPLETE

THIS SECTION ON DELIVERY

■ Complete items 1, 2, and 3. Also complete

item 4 if Restricted Delivery Is desired.

■ Print your name and address on the reverse

X

Lire

/01\ 6)?

.kli Oki--?

0

Agent

q

?

Addressee

so that we can return the card to you.

Received by

(Printed Name)

C. Date of Delivery

■ Attach this card to the back of the mailpiece,

or on the front If space permits.

D.

ar

Is delivery

di

address

Eh

different

lior

from Item

1?

/1121407

q

Yes

1. Allele Addressed to:?

11/15/07?

B.M.

If YES, enter delivery address below:?

q

No

PCB '2008-028

Wink= H. Strang

108 N. Lafayette Street

Jerseyville, IL 62052

3. Se ce Type

ifled Mail

q

Express Mall

Registered?

q

Retum Receipt for Merchandise

q

Insured Mall?

q

C.O.D.

4. Restricted Delivery?

(Extra Fee)

?

q

Yes

2. Article Number

(Transfer from service label)

7006 0810 0004 22256520

PS Form 3811,

February 2004

Domestic Return Receipt

?

102595-02-M1540

•