1. Page 1

 
A.
Si
X (
,t4k/n-4n
Agent
0 Addressee
R/C
/by fed
Name)
D. Is delivery address
t-hrkett
different from item 1?
q
Yes
If YES, enter delivery address below:
?
q
No
C. Date of Delivery
ORICINAL
nil
El
tialVED
k's
OFFICE
1 4
2007
-nun,;,,)ri
EOF
Control
ILLINOIS
Board
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
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. Article Addressed to:
12
/6/07 B.M.
PCB 2007-080
Jacqueline Taylor
Mahomet Hen House
Post Office Box 110
Mahomet, IL 61853
3. Service Type
toed Mall
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 2225 6667
PS Form 3811, February 2004
Domestic Return Receipt
102595.02-M-1540

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