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:

9/4/08

B

.

M.

AC

2008—032

Joseph

Flick

315

Vine

Street

Cobden,

IL

62920

A.

Signature

B.

eceived

by

(

Printd..Name)

C.

Date

of

Delive

‘1<’

Hc-

D.

Is

delively

address

different

from

item

1?

D

Yes

If

YES,

enter

delivery

address

below:

C

No

2.

Article

Number

(Transfór

from

serviàe

Iabe.9

C

Agent

C

Addressee

3.

Srvice

Type

rtif

led

Mail

Registered

C

Insured

Mail

C

Express

Mail

C

Return

Receipt

for

Merchandise

C

C.O.D.

7007

3020

0000

4630

71J7

4.

Restricted

Delivery?

(Extra

Fee)

C

Yes

PS

Form

3811,

February

2004

Domestic

Return

Receipt

102595-02-M-1540