CLERK’S

OFFICE

SEP•2

22008

STATE

OF

ILLINOIS

Poll

ton

Control

Board

SENDER

COMPLETE

THIS

SECTION

I

Complete

items

1,

2,

and

3.

Also

complete

item

4

if

Restricted

Delivery

is

desired.

I

Print

your

name

and

address

on

the

reverse

so

that

we

can

return

the

card

to

you.

I

Attach

this

card

to

the

back

of

the

mailpiece,

or

on

the

front

if

space

permits.

COMPLETE

THIS

SECTION

ON

DELIVERY

1.

Article

Addressed

to:

9/16/08

B.M.

AC

2008—036

Charles

F.

Kinsel

14998

North

Shelby

Road

Lewistown,

IL

61542

3.

Service

Type

‘Certified

Mail

IJ

Registered

0

Insured

Mail

2.

ArticleNumber

(Transfer

from

ser,,ce

Iabe,9

7007

3020

0

Express

Mail

0

Return

Receipt

for

Merchandise

0

4.

Restricted

Delivery?

(Extra

Fee)

0000

4630

7337

0

Yes

PS

Form

3811,

February

2004

Domestic

Return

Receipt