I

SENDER ;

COMPLETE THIS SECTION

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

I

Item 4

If Restricted Delivery Is desired

.

i ∎ 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 malipiece,

or on the front if space permits .

1 . Article Addressed to :

5/18/06 B .

PCB 2006-168

Larry;,-Wernsing

9212 X. 22nd Avenue

Raymond, IL 62560

I

ORIGINAL

COMPLETE THIS SECTION ON DELIVERY

B. Received

`

D. le delNery address different from ttem 1? O

If YES, enter delivery address below :

0

No

3.~S

Ice Type

`t~8enitied.Mall

0 Express Mail

Registered

0 Return Receipt for Merchandise

0 insured Mall

0 C.O.D.

4. Restricted Delivery? (Extra Fee)

2. Article Number

(ilanal

er

fer rom

service Iabe1)

7005

1160 0002 2067 9354

na

Irom

1

PS Form

3811,

February 2004

Domestic Return Receipt

102595-02M-1546

RECEIVED

CLERKS OFFICE

MAY

'1 12006

STATE OF ILLINOIS

Pollution Control Board

0

Yes