ORIGINAL

SENDER :

COMPLETE THIS SECTION

1 . AdkleAddressedto:

7/20/06 B.M.

AC 2006-045

Mark Bartherson

29755 S .

Prairie View Drive

Wilmington,

IL 60481

∎ 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 .

B. eceived by

(Printed

Name)

I ∎ Attach this card to the back of the mallpiece,

or on the front If space permits .

RECEIVED

CLERK'S OFFICE

AN o 0 =? 2006

STATE OF

ILLINOIS

Pollution Control Board

COMPLETE THIS SECTION ON DELIVERY

O

Agent

P-ATdressee

C Date of Delivery

D. Is deMery address di reran from Item I? 13 Yes

If YES, enter delivery address below:

ONo

3. Service Type

*Certlfled Mail

O Express Mail

ti

Registered

C3 Return Receipt for Merchandise

O

Insured Mall

O

C.O.D.

I

I

I

2. Arhcle Number

fi nsrerfromsarvkelavaq

7005

1160 0002 2067 9736

PS Form3811, February 2004

Domestic Return Receipt

102595.02

•M

1540

4. Restricted Delivery? (Extra Fee)

O

Yes