I AC 2007-046

Adolph M . Lo

906,W

. Curtis Road

I

Champaign, IL 61821

II

I

2. Article Number

(r/ansferfmmservice label)

7001 1140 000217489 2785

I

PS Form 3811, February 2004

Domestic Return Receipt

ice Type

rtifled Mail 0 Express Mail

Registered

0 Return Receipt for Mamhandlst

0

Insured Mail

0 C.O.D .

4 . Restricted Delivery? (Extra Fee)

0 Yes

RECEIVED~~e2M.,

~

CLERK'S OFFICE

MAY 0

1 2007

Pollution

STATE OF

Control

ILLINOISBoard

∎ Complete items 1, 2, and 3

. Also complete

A. Signature_

item 4 if Restricted Delivery is

desired .

x

T~

D Agent

∎ Print your name and address on the

reverse

D Addresse

so that we can return the card to you .

C . Date of Deliver

∎ Attach this card to the back of the

mailpiece,

S

. Receive

(P lnted Name)

or on the front if

space permits

.

D . Is delivery address different from item 1?

0 Yes

1

1 . Article

Addressed to :

4/19/07 B .M .

If YES, enter delivery address below:

0 No