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 .

∎ Attach this card to the back of the mailpiece,

or on the front if space permits .

I . Article Addressed to:

'

3/17/06 B .M

.

AC 2007-003

Mike Tilley

505 South Street

Dowell, IL 62927

2 . Article Number

(Transfer (mm service label)

7005 1160 0002 2068 0121

PS Form 3811, February 2004

L

Domestic Return Receipt

RE

CLERK'S

iEIVEDOFFICE

SEP 1 8 2006

Pollution

STATE OF

Control

ILLINOISBoard

COMPLETE THIS SECTION ON DELIVERY

A. Signature

0 Agent

X~~~+~~ dresses

Received b Pd ed Name)

C . D to

h

ke

. r' l/ey q[1

111

livery

a delivery address different from item I?

0 i s

If YES, enter delivery address below :

0 No

4. Restricted Delivery? (Extra Fee)

ce Type

maw

0 Express Mall

O Registered

0 Return Receipt for Merchandise

0 Insured Mall

0 C .O.D .

0 Yes

102595-02-M-1540