CLERK’S
OFFICE
SEP’
22OO8
STATE
OF
ILLINOIS
POI1tjo
Control
Board
SENDER:
COMPLETE
THIS
SECTION
COMPLETE
THIS
SECTION
ON
DELIVERY
•
Complete
items
1,
2,
and
3.
Also
complete
A.
Signature
ID
Agent
item
4
if
Restricted
Delivery
is
desired.
X
C
Addressee
B
Print
your
name
and
address
on
the
reverse
so
that
we
can
return
the
card
to
you.
B.
Received
byt’PrintedName)
0._Date
of
Delivery
B
Attach
this
card
to
the
back
of
the
mailpiece,
I
-
-
or
on
the
front
if
space
permits.
D.
Is
deilvery
tdress
different
fr6m
item
1?
0
Yes
If
YES,
enter
delivery
address
below:
ID
No
1.
Article
Addressed
to:
9/16/08
B
AC.,,
2008—034
Joph
Combs
260
Isreal
Street
White
Hall,
IL
62092
3.
Service
Type
‘Certifled
Mail
ID
Express
Mail
ID
Registered
ID
Return
Receipt
for
Merchandise
C
Insured
Mail
C
G.O.D.
4.
Restricted
Delivery?
(Extra
Fee)
ID
Yes
2.
Article
Number
(Transferfrom
sen’ice
label)
7007
3020
0000
4630
7313
PS
Form
381
t,
February
2004
Domestic
Return
Receipt
102595-02-M-1540