a

/ a 0 Agent

a

ti

Vid

e,

Airrie41dral

q

Addressee

Ar

?

C ate of Delivery

•

D. Is delivery address different from Item 1? 0 Yes

If YES, enter delivery address below:

?

q

No

3.

r

Service

itined

Type

Mall In

Express Mall

Registered?

q

Return Receipt for Merchandise

q

Insured Mail

?

q

C.O.D.

4.

Restricted Delivery?

(Extra Fee)?

q

Yes

■

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:

3/20/08 B.M.

PCB 2008-050

Judith Breitbach

9527 Blue Goose Road

Prophetstown, IL 61277

'LECEiVED

.LERK'S

OFFICE

AR 3

1 2008

iF ILLINOIS

:ontrol Board

SENDER: COMPLETE

THIS SECTION

COMPLETE THIS

SECTION

ON DELIVERY

2. Article Number

MweerfmrimmkeWNO

7007 3020 0000 4630 5470

PS Form 3811,

February 2004?

Domestic Return Receipt

102595-02-M-1540