SENDER : COMPLETE THIS SECTION

∎ Complete items 1, 2, and 3 . Also complete

Item 4 If

Restricted Delivery Is dkAred

.

∎Print your name and addresl on the reverse

so that we can return the card to you.

∎ Attach this card to the back of the mailpiece,

or on thefront if space permits .

1 . Article Addressed to : 5/18/06 B .M.

AC 2005-018

William Shrum

6694 Shamrock Road

Tamaroa, IL 62888

II

2. Article Number

(rransferfrom service labe

7005 1160 0002 2067 9231

PS Form

3811,

February 2004

Domestic Return .

O R 1" • 1

F

I

RECEIVEDCKEIIVED

MAY 3 E# 2006

STATE OF ILLINOIS

Pollution control Board

COMPLETE THIS SECTION ON DELIVERY

D. Is delivery address different from Item t? MY"

If YES, enter delivery address below :

0 No

4. Restricted Delivery? (Extra Fee)

0 Yes

3. Service Type

'Certified

mail 0 Express Mall

Registered

0 Return Receipt for Merchandise

0 Insured Mall

0 C.O.D.