ORIGINA L
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 maliplece,
or on the
ro
t If
ermits :
1
. Article Addressed to
:
5
AG 2006-030
R
Linnabury .
7
L Hwy 49
B .M
.
COMPLETE THIS SECTION ON DELIVERY
A Signature
RECEIVED
CLERK'S OFFICE
MAY t
1
2006
Pollution
STATE OF
Control
ILLINOISBoard
Rec ed
tedName)
jA16N,
C
. Date
/
Del
0
sty
deivery address different
em 17
Y
if YES, enter delivery address below
:
0
No
2
. ArscleNumber
7005
1160
0002
2067
9217
(rransferlrom
service Iebep
I
Ps Form
3811,
February 2004
Domestic Return Receipt
102sn5-02 A41540
;
IL
61933-6032
e Type
rtfledMail
0
Mall
I
Receipt for Merchandise
II
Registered
0
insured
Mall
scum
0
C.OD .
4
. Restdcted Delivery? (Extra Fee)
0 Yes