A. Sig?

re

X

B.

Received by

(Rioted Name)

?

C. Date of Delivery

arceMa_

?

(e) •41S1

If YES, enter delivery address below:

?

q

No

q

Agent

?

I

q

Addressee

I

D. Is delivery address different from Item 1?

q

Yes

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.

Article Addressed to:

?

5/1/08 B.M.

PCB 2008-077

Rollyn Kuntz

9263 N.

1290 E. Rd.

Chenoa, IL 61726

3. Service Type

Filed Mail

q

?Express Mall

Registered

q

?

Return Receipt for Merchandise

q

?Insured Mail

q

?

C.O.D.

A Restricted Delivery?

(Extra Fee)

?

q

Yes

2. Arta Number

ChimferfrommWrIc*Mb*

7007 3020 0000 4630 6163

P Form 38110:

elblier0004 ;

?

perianth: Return Receipt