1. Page 1

 
Rec.
cLerit(I'Vsf)
OFFicE
APR
8 2008
poSTATE?
OF ILL
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.
1. Article Addressed to:
?
4/17/08 B.M.
PCB 2004-204
Daniel J. Beers
203 Cottage Grove
Pekin, IL 61554
COMPLETE TI-HS
SEC
TION ON DELIVI?,
/9/44-4-‘SCI
?
— 0 Addressee [
Agent
Received by
(Frio Name)
?
tape
42,5
D
dry
D. Is delivery address different from Item 1?
If YES, enter delivery address below:
?
q
No
ce Type
edified Mall
0
Express Mall
Registered?
q
Retum Receipt for Merchandise
q
Insured Mail
?
q
C.O.D.
4. Restricted Delivery? (Extra Fee)
?
q
Yes
2. Article Number
Mansferftmservkeftheg
7007 3020 0000 4630 5951
PS Form
3811, February 2004
Domestic Return Receipt
102595-02441540[

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