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

so that we can return the card to you .

I

∎ Attach this card to the back of the mallpiece,

or on the front If space permits .

1

.

lcleAddressedta

8/17/06 B.M .

AC 2006-013

Samuel E. Bauerie

1 321 West McMackin Street

Salem,

IL 62881

2. Article Number

(rransferfrom

service

Iabeq

7005 1160 0002 2068 0077

I

PS Form

3811,

February 2004

Domestic Return Receipt

RECEIVED

CLERK'S OFFICE

AUG 2 8 2006

STATE OF ILLINOIS

Pollution control Board

COMPLETE THIS SECTION ON DELIVERY

FAZVA

9

4 -

n

~

Addressee

C, Date gt

livery

. Is delivery address different from item

7

0

Yes

If YES, enter delivery address below:

17 No

ce Type

fled

mail

C Express

mom

Registered

13 Return Receipt for Merchandise

Insured Mall

C C.O.D.

4, Restricted Delivery? (Extra Fee)

C Yes

10259502-M-1540

;

i