ORIGINAL

SENDER : COMPLETE THIS SECTION

∎

Complete items 1, 2, and 3. Also complete

item 4 if Restricted Delivery is desired .

∎ Print your name and address on the reverse

that we can return the card to you .

ch this card to the back of the mailpiece,

n the front if space permits .

1 .

a Addressed to

8/4/06 B .M .

AC 006-057

Ron'Lawver

bt + *--

g--

venue

j Lewistown, IL 61542

I

I

I

2. Article Number

(riamfor

from

sarvke

taboo

7005 1160 0002

2067 9910

I PS

Form

3811, February 2004

Domestic Return Receipt

RECE*VEDCLERKS

OFFICE

AUG 1 8 2006

Pollution

STATE OF

Control

ILLINOISBoard

COMPLETE THIS SECTION ON DELIVERY

D

Received

Printed Narde)

m am

a Service Type

C'

Registeredertfaed

Mail 0 Express Mall

0 Return Receipt for Merchandise

0 Insured Mail

0 C.O.D.

4. Restricted Delivery? (Extra Fee)

0 Yes

Is delivery address different

If YES, enter delivery address

p.O. 6oy (OS'

102595 .02-M-1540