1. Page 1

 
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 2008-069
Brandon M. Gerard
3 Pheasant Lane
Pittsfield, IL 62363
()LE
RK'S
rvIEIVED
OFFICE
RAY
1 2
2008
OF
ILLINOIS
hul
a,.
Control Board
COMPLETE THIS SECTION ON DELIVERY
q
Agent
q
Addressee
C. Date of Delivery
D. Is delivery address different from [tern 1?
q
Yes
if YES, enter delivery address below:
?
q
No
Ice lype
ed Mail
q
Express Mail
Registered
?
q
Return Receipt for Merchandise
q
Insured Mail
?
0
C.O.D.
A.
Signature
X
B. Rece
4. Restricted Delivery?
(Extra Fee)
?
q
Yes
2. Article Number
Minger ftwnservice
laix4
7007 3030 0000 4630 6057
PS Form
3811,
February 2004?
Domestic Return Receipt
102595-02-M-1540

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