1. page 1

 
OR151 IA1
SENDER :
COMPLETE THIS SECTION
1 ∎ 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 .
j
∎ Attach this card to the back of the mailpiece,
or
front If space permits
.
I .
Art
to:
6/1/06 B.M.
AS
2
-003
Jon S. Faletto
Hinshaw & Culbertson
456 Fulton Street
Suite 298
I
Peoria, IL 61602
I
2. Article Number
(17ansferrromservtceleW
7005 1160 0002 2067' 9378
~ PS Form
3811,
February
2004
Domestic Return Receipt
CLERKS OFFICE
.fit"' I ° 2006
STATE
OF ILLINOIS
Pollution Control
Boarq
COMPLETE THIS SECTION ON DELIVERY
O Agent
L/61
1-
O Addressee
C. Det p
o,
f
Very
G ~ ~~
D. Is delivery address d
form Item l? f7
es
If YES, enter delivery address below :
0 No
3, Service type
'ertlfled Mail
0 Express Mall
1] Registered
0 Return Receipt for Merchandise
0
Insured Mall
0
C.O.D .
4. Restricted Delivery? (Exae
Fee)
0 Nee
10250502-WIS40

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