OCT

10

2008

LINOIS

01

Board

SENDER

COMPLETE

THIS

SECTION

j

COMPLETE

THIS

SECTION

ON

DELIVERY

•

Complete

items

1,

2,

and

3.

Also

complete

A.

Signature

item

4

if

Restricted

Delivery

is

desired.

EJ

Agent

•

Print

your

name

and

address

on

the

reverse

7

•Addressee

so

that

we

can

return

the

cardto

you

B

Received

by

(Printed

Name)

C

Date

of

Dehvery

•

Attach

this

card

to

the

back

of

the

mailpiece,

4

j

or

on

the

front

if

space

permits.

“

Is

delivery

address

different

from

item

1?

D

Yes

1.

Article

Addressed

to:

9

/

30/08

B

If

YES,

enter

delivery

address

below:

D

No

AC

2007—028

Charles

Norman

Bartlett

RR

1

Hamburg,

IL

62045—9801

3.

Service

Type

_Certifled

Mail

C

Express

Mail

C

Registered

C

Return

Receipt

for

Merchandise

EJ

Insured

Mail

C

C.O.D.

4.

Restricted

Delivery?

(Extra

Fee)

C

Yes

2.ArticleNumber

..,

1

(rransferfsriceIèè

.

70073020

00004630

7443

PS

Form

3811,

February

2004

Domestic

Return

Receipt

102595-02-M-1540