1. page 1

 
ORIGINAL
SENDER : COMPLETE THIS SECTION
1 ∎ Complete hems 1, 2, and 3 . Also complete
hem 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,
I
or on the front If space permits .
PS Form 3811, February 2004
Domestic Return Receipt
RECEIVEDCLERK'S
OFFICE
JUN
1 .'
2006
Pollution
STATE OF
Control
ILLINOISBoard
2 . ?Article Number
nsterfrom service label)
7005 1160 0002 2067 9415
COMPLETE THIS SECTION ON DELIVERY
A Signature
X ~0
Agent
0 Addressee
B. Received by (Printed Name)
/C
Dat7 t~of
~
Djih§ry
D. Is
t_gro/
delivery address
$.
544s,4,0
deferent from Item
~Q~g~
I?
0 Yes
If YES, enter delivery address below :
0 No
ce Type
fled Mail 0 Express Mail
RegIstered
0 Return Receipt for Merchandise
13 Insured Mail
0 C.O.D.
4 . Restricted Dellvery'1(Extra Fee)
0 Yes
102595,-02-M.1540
I . Article Addressed to:
6/1/06
B.M.
PCB 2006-046
Richard R . Cain
ICadagin & Cain
11518
IiCollinsville,
Vandalia StreetIL
62234

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