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 .

i ∎ Attach this card to the back of the mailpiece,

LL

or on the front if space permits .

1

1 . MHcleAddressed to:

2/2/06 B .M.

& PCB 2006-112

ingen

nd

Pei`-i~ole m,

e Building

2454

COMPLETE THIS SECTION ON DELIVERY

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ignatu

/1%

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ad by

(Printed

N

3: Service Type

, -

DCenified-Mall

- 0 Express Mall

10 _

Registered

O

Return Receipt for Merchandise

C I Insured Mall

O

C.O.D.

R

ECE'VED

CLERK'S

OFFICE

FEB 2

1 2006

Pollution Control

Bo

d

Agent

C O

Addressee

e)

C. Date of Delivery

D. Is del

address drent from item 1?

El Yes

If YES, enter delivery address below

:

17 No

4 Restricted Delivery? (&tm Fee)

El Yes