ORIGINAL

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. Article Addressed to

:

i/19/06

B.M .

AC 2006-018 & AC 2006-019

Maurice L . Thompson, Trustee

Maruice L. Thompson Trust

25980 North County Hwyl6

Canton, IL 61520

2. Article Number

7005 1160 0002 2443 1491

(Transfer from service label)

PS Form

3811,

February 2004

Domestic Return Receipt

COMPLETE THIS SECTION ON DELIVERY

eceived by (Printed Name)

I.

a

A

D e of D

ery

a-/ '1'e

-

DY

D. Is delivery address different m item I?

If YES, enter delivery address below:

D

No

RECEIVED

CLERK'S

OFFICE

JAN 3 1 2006

STATE OF

ILLINOIS

Pollution Control Board

3.

Ice Type

died Mall

13 Express Mall

Registered

D

Return Receipt for Merchandise

D

Insured Mall

D

C.O.D.

4. Restricted Delivery? (ExtM Fee)

0

yes

102595-02 .M-1540