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 :

3/15/07

B .M

PCB

2005-216

Wayne Haser

125763 Will creek Lane

RECEIVED

Monee, IL 60449

OR

CLERK'S OFFICE

MAR 2 8 2007

Pollution

STATE OF

Control

ILLINOISBoard

I

2 . Article Number

(Transfer from service

label)

I PS Form

3811, February 2004

COMPLETE THIS SECTION ON DELIVERY

a

11 Agent

dresses

ce T

0 Express Mail

_ .

0 Return Receipt for Merchandlsr

cured

I

0 C.O .D .

7001 1140 0002 7469 0374

Domestic Return Receipt

Delivery? (Extra Fee)

C . Date of Deliven,

ery address d event from item 1?

O Yes

delivery address below:

O No

0 Yes

i

102595-02-M-154