ECEVED

CLERK’S

OFFICE

NOV

122008

SThT

OF

ILLINOIS

nIuum

Control

Board

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.

1.

ArticleAddressedto:

11/5/08

B.M.

AC

2009—016

Larry

Jabusch

Mid—America

Machinery

Company

3500

Wrightsman

Road

Virden,

IL

62690

PS

Form

3811,

February

2004

D

Agent

ci

Addressee

B.

‘ece

ad

by

(Pfinted

Name)

C.

Date

of

Delivery

7

D.

Is

delivery

address

different

from

item

1?

ci

Yes

If

YES,

enter

delivery

address

below:

ci

No

3.

Service

Type

Certified

Mail

ci

Express

Mail

t]

Registered

C]

Return

Receipt

for

Merchandise

ci

Insured

Mail

ci

C.O.D.

4.

Restricted

Delivery?

(Extra

Fee)

ci

Yes

SENDER:

COMPLETE

THIS

SECTION

j

COMPLETE

THIS

SECTION

ON

DELIVERY

I

A.

Signatur

2.

Article

Number

(Fransferfrom

service

label)

7008

1830

0003

9908

7522

Domestic

Return

Receipt

1

02595-02-M-1

540