ORIGINA 1

∎

C . 9 to of

4

livery

PIS

SENDER : COMPLETE THIS SECTION

3

O Agent

Addresses

∎ 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 o

:

8/17/06 B

.M .

PCS,2006-151

Bradn E . Konzen

Lueders, Robertson,& Konzen

1939 Delmar

P .O . Box 735

Granite City, IL 62040

2 . Article Number

j

(Transfer fmm service label)

PS Form 3811, February 2004

7005 1160 0002 2068 0b69

Domestic Return Receipt

Is delivery address different from item 7 0

It YES, enter delivery address below :

0 No

SerAca

0 Certified

TypeMall

0 Express Mail

0 Registered

0 Return Receipt for Merchandise

0 Insured Mail

0 C.O.D .

4 . Restricted

Delivery? (Ekta Fee)

0 Yes

CLERK'S

OFFICE

WED

AUG

2 8 2006

Pollution

STATE OF

Control

ILLINOIS

Board

COMPLETE THIS SECTION ON DELIVERY

X

B,

ace(ved by

nted Name)

asf

e eecle'c

102595-02.M.1540

A