•
    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.
    ArticleAddresSed
    to:
    9/4/08
    B
    .M.
    /
    PCB
    2007—020
    Clerk’s
    Office
    Village
    of
    Atkinson
    107
    W.
    Main
    Street
    Post
    Office
    Box
    614
    Atkinson,
    IL
    61235
    SENDER:
    COMPLETE
    THIS
    SECTION
    I
    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.
    •
    Attéch
    this
    card
    to
    the
    back
    of
    the
    mailpiece,
    or
    on
    the
    front
    if
    space
    permits.
    1.
    ArticleAddressedto:
    9/4/08
    b.M.
    PCB
    2007—020
    Virgil
    Thurman
    Village
    of
    Atkinson
    137
    S.
    State
    St.,
    Suite
    208
    Geneseo,
    IL
    61254
    SENDER:
    COMPLETE
    THIS
    SECTION
    )Agent
    D
    Addressee
    B.
    ,eceivd
    by
    (Printed
    Name)
    C.
    D
    e
    of
    e
    ry
    &V2’j
    WL’W5
    7/-c?
    D
    Is
    dehveiy
    dress
    different
    fro
    item
    12
    1]
    Yes
    If
    YES,
    enter
    delivery
    address
    below:
    D
    No
    3.ServiceType
    -
    -
    -
    ertified
    Mail
    Cl
    Express
    Mail
    Registered
    Cl
    Return
    Receipt
    for
    Merchandise
    Cl
    Insured
    Mail
    Cl
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    Q
    Yes
    2.
    Article
    Number
    -:
    -
    -
    -
    -
    -
    -
    :
    -
    -
    -
    (Transfer
    fromse,ViCcIabel)
    7007
    3020
    0000
    4630
    7184
    -;
    -
    PS
    Form
    3811,
    February
    2004
    Domestic
    Return
    Receipt
    1o2s95-o2-M-1540
    C
    r.r.1iwJII
    jure’
    Agent
    Addressee
    ‘ReJeivedby,,(PdntédName)
    C.
    Date
    of
    Delivery
    s1c-U
    /ç
    Is
    delivery
    address
    different
    from
    item
    1?
    Cl
    Yes
    If
    YES,
    enter
    delivery
    address
    below:
    C
    No
    /
    3.
    Service
    Type
    ertifled
    Mail
    Registered
    Cl
    Insured
    Mail
    Cl
    Express
    -Mail
    Cl
    Return
    Receipt
    for
    Merchandise
    Cl
    C.O.D.
    4.
    Restricted
    Delivery?
    (Extra
    Fee)
    Cl
    Yes
    2.
    Article
    Number
    -
    -
    -
    -
    -
    -
    -
    -
    -
    -
    (Transfer
    from
    seivice
    label)
    7007
    3020
    0000
    4630
    7191
    PS
    Form
    3811,
    February
    2004
    Domestic
    Return
    Receipt
    102595-02-M-1540

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