0R1~~~~"" l

SENDER :

COMPLETE THIS SECTION

∎ Complete Items 1, 2, and 3

. Also complete

Item 4 if Restrlcted'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 : 6/15/06 B .M.

PCB

2006-180

Mark Marquis

Buda, IL A)314

.

_I53,

ES r--

2. AMCioNumber

HennepM

ILCoI?a

(Transte fvInseMceleber

I

7'005 1160'0002`2067

I PS Form 3811, February 2004

COMPI

',c THIS SEr) lC j': vN DELIVERY

`

D. Is delivery address d"w' t from Item 17 0 Yes

If

YES, enter delivery address below :

O No

3. S Ice Type

fled mail 0 Express Mall

Registered

0 Insured Mall

0 Return Receipt for Merchandise

0 C.O.D.

Domestic Return Rece(pj.

9521

RECEIVEDCLERK'S

OFFICE

JUL U 6 2006

STATE OF

ILLINOIS

Pollution Control Board

cted Delivery? (Extra Fee)

0 Yes

102595-02-M- 540