ORIGINAL

SENDER :

COMPLETE THIS SECTION

∎ Complete Items t, 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

.

I MicisA

5/18/06 B .M.

PCB 20

Patrick! A k

RR #1, Box

134

Sigel, IL 62462

A . S

X

4.

nature

D. Is delivery ad

t from item 1

If YES, enter delivery address below :

Restricted

DeMeryl (Extra Fee)

a

dAgent

0 Addressee

I

O yes

~ 2. Micie Number

fi nsterhomsarvtcefeba9 7005

1160 0002 2067 9309

PS Form 3811, February 2004

Domestic Return Receipt

RECEIVED

MAY 30 2006

STATE OF ILLINOIS

Pollution Control Board

COMPLETE THIS SECTION ON DELIVERY

C . Date of Delivery

t3 No

3. Service Type

fl

Registerededified

Mali O Express Mail

O Return Receipt for Merchandise

O Insured Mall

0 O.O.D.

102595-02-M-1540