Signature
COMPLETE THIS SECTION ON DELIVERY
D. Is delivery address different from item 1? El Yes
If YES, enter delivery address below: ,./ig
No
A.
X
B.
ceived by (
Printed Name)
:TAD C GaEEVC--
kg" Agent
Addressee
-C. Date of Delivery
C7/W/06
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:
7/21/08 B.M.
AC 2008-033
Rex Greene
P.O. Box 32
East Lynn, IL 60932
3. Service Type
1-Gertified Mail 0 Express Mail
?
Registered?
0 Return Receipt for Merchandise
?
0 Insured Mail?
0 C.O.D.
4. Restricted Delivery? (Extra
Fee)
?
0 Yes
2. Article Number
(Transfer from service label)?
7007 3020 0000 4630 6798
PS Form
3811,
February 2004
Domestic Return Receipt
102595-02-M-1540