1. Page 1
 
q
Agent
q
it
TrfCetNct
i
Ci
D of De e
?
D. Is
delivery address
different from item?
q
Y
ddre
ut ii
?
If YES, enter delivery address below:
?
q
No
,
PC
3. Service Type
q
Certified Mae
q
Registered
q
Insured Mall
q
Express Mall
q
Return Receipt for Merchandi
q
C.O.D.
4. Restricted Delivery?
(Extra
Fee)
?
q
Yes
X
A.?
azure
r
o5Y
SENDER:
COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
c
Celv
I
LErenk'S
OFFCE
ED
JUN 1
?
2008
■ 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.
A. Signature
q
?
Agent
X
//
?
/
?
q
Addressee
STA
OF ILLINOIS
I (Ann Control Board
C. Date of
Delivery
■ Attach this card to the back of the mailplece,
or on the front if space permits.
D. Is delivery address different from item
1?
q
Yes
1?
Article Addressed to:
?
6/5/08
?
jt
If YES, enter delivery address below:
q
?
No
AC 2008-022
' Steven Blake
220 S. Mississippi Street
Apt. 4
Pittsfield, IL 62363
3. Service Type
q
Certified Mall
q
Registered
q
Insured Mall
q
Express Mall
q
Return Receipt for Merchandise
q
C.O.D.
4. Restricted Delivery? (Mrs Fee)
?
q
Yes
2. Article
(Transfer
Number
from service
?
label)
/007
4
3020 0000
4630
Serie- 6
?
C
PS Form
3811,
February 2004
?
Domestic Return Receipt
10250-02-M-1540
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:
?
6/5/08 jt
AC 2008-022
Brian J. Meginnes
Elias, Meginnes, Riffle &. Seghet:
416 Main Street
Suite 1400
Peoria, IL 61602-1153
COMPLETE THIS SECTION ON DELIVERY
2. Article Number
punster
rfom
serybe labs
?
007
3020 0000 4630 6439
PS Form
3811,
February 2004
?
Domestic Return Receipt
?
IO2595'0244
1!

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