•9
2008
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.
ArticleAddressedto:
9/30/08
B.M.
AC
2009—003
Frank
and
May
Lou
Record
31011
N.
County
Hwy
2
/
A.S
ie
DAgent
X
-
C
Addressee
B.
Received
by
(Printe
N”me)
j
Date
of
Delivery
.
.r’/9
D.
Is
delivery
address
different
from
item
1?
0
Yes
if
YES,
enter
delivery
address
below:
C
No
3.
Service
Type
Certified
Mall
Registered
C
insured
Mail
4.
Restricted
Delivery?
(Extra
Fee)
C
Yes
I
ILLINOIS
“°fltroI
Ellisville,
IL
61431
C
Express
Mail
C
Return
Receipt
for
Metchandise
O
C.OD.
(Transferfrorn
service
label)
7007
3020
0000
4630
7467
:3
Form
3811,
February
2004
Domestic
Return
Receipt
102595-02-M-1540